Printable CMS 1500 Forms & Superbill Templates
- Posted: May 9, 2018
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- TheraNest Team
Simplified & Printable Superbills & CMS 1500 Forms To Save You Time
In this post, we’re doing a deep dive into two billing words you’ll hear often as a therapist in private practice: superbills and CMS-1500 forms. We’ll be outlining what superbills and CMS 1500 forms are, while also explaining what purpose both of these documents serve in your private practice and in the medical billing world at large. For many therapists, generating superbills for clients and printing claims forms (CMS-1500, formerly known as HCFA) serve as the backbone of their income, meaning that efficiency and reduced costs in this area, can have a significant impact on their practice and sanity. As we know, knowledge is power–this is no different in the medical billing world of therapists. Learning more about superbills and CMS-1500 forms will help you build a stronger and more stable private practice.What is a superbill?
Even if you have made the decision to not accept insurances in your private practice, the chances are high that you will still be plagued with many insurance questions from clients throughout your career. The most common of these questions will likely be: can I get a superbill to submit to my insurance company? This might leave you asking some very important questions like what even is a superbill and how is it different from an invoice or statement? A superbill is an itemized form created by medical providers and given to clients outlining specific information about services rendered and payments made. Superbills contain information clients need to submit to insurance companies to (potentially) get reimbursed for services you provided as a therapist. What sets superbills apart from typical receipts, invoices, and statements is the information and level of detail they include. Superbill templates must contain the following information in order for insurance companies to consider requests for reimbursements by your clients:- Client Information
- Name
- Date of birth
- Address
- Phone number/ email
- Practice information
- Provider name and credentials
- Office address
- Contact info (email, phone)
- EIN (Employer Identification Number)
- If you do not have an EIN as a provider, you will have to provide your (therapist) social security number.
- NPI (National Provider Identifier) if you have one
- The 10-digit identification number assigned by the Centers for Medicare and Medicaid Services (CMS)
- ICD-10 Diagnosis code
- CPT Code for services rendered
- Date(s) of service
- Fee for service