Which document is used to report outpatient services?

The CMS-1500 Form is specifically designed for reporting outpatient services, including professional services provided by physicians and other healthcare practitioners. This form is used widely for billing Medicare, Medicaid, and many private insurers for outpatient care, allowing healthcare providers to submit claims for services like office visits, consultations, and other non-inpatient treatments.

It captures essential patient and service details, including the diagnoses, procedures, and costs, which are necessary for accurate processing of claims and proper reimbursement. The CMS-1500 form aligns with guidelines set by the Centers for Medicare & Medicaid Services (CMS) for outpatient billing.

While the UB-04 Form is utilized for institutional services, primarily inpatient stays in hospitals or other facilities, and the Claim Adjustment Form is not specifically for reporting but rather for adjustments to previously submitted claims, the HCFA-1500 is essentially the earlier title that has now been replaced by CMS-1500. Thus, the CMS-1500 Form is the correct document for reporting outpatient services due to its tailored structure and regulatory compliance.