In which billing format would you find data showing a physician's professional fee charges?

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The CMS-1500 form is specifically designed for billing services rendered by healthcare professionals, particularly in outpatient settings. This form is utilized primarily by physicians and non-institutional providers to submit claims to insurance companies. It includes fields that capture relevant information such as the provider's professional fees, ensuring that this crucial billing data is documented and submitted accurately for reimbursement.

Other formats, while related to healthcare billing and documentation, serve different purposes. The CPT (Current Procedural Terminology) codes are a standardized set of codes that describe medical, surgical, and diagnostic services, but they do not represent the entire billing format. The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) codes are used for diagnostic coding, providing information about the patient's condition rather than billing charges. The 835 form refers to the Healthcare Claim Payment/Advice, which relates to electronic payment remittance advice and not the submission of the initial billing for professional fees. Therefore, the CMS-1500 form is the correct format that includes a physician's professional fee charges.

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