Where is the physicians or suppliers signature required

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Reference no: EM133954939

Problem

I. You will be given a copy of the CMS-1500 form (blank or sample).
II. Work individually or in pairs.
III. Your task is to find the answers to the questions below by locating the correct field (box number) on the form.
IV. Write your answers in the space provided.

A. Where do you find the patient's name?
B. Which box asks if the condition is related to employment, auto accident, or other accident?
C. Where is the insured's ID number entered?
D. Which box requires the provider's NPI number? Get the instant assignment help.
E. Which section includes the diagnosis codes (ICD-10-CM)?
F. Where do you list the procedures, services, or supplies (CPT/HCPCS codes)?
G. Which box shows the total charge for services?
H. Where is the physician's or supplier's signature required?
I. Which box asks if the provider accepts assignment?
J. Where do you indicate if the patient has other insurance coverage?

Reference no: EM133954939

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