CPB Certified Professional Biller Certification Practice Exam

What is the purpose of using the CMS-1450 form?

1. To report patient demographics

2. To bill Medicare for dental services

3. To submit UB-04 claims for institutional and selected providers

4. To bill for outpatient services

The correct answer is: To submit UB-04 claims for institutional and selected providers

The CMS-1450 form, also known as the UB-04, is primarily used to submit claims for services provided by institutional providers, including hospitals, nursing facilities, and outpatient facilities. It serves as a standardized way to report information related to the services provided, ensuring that all pertinent data required by payers, including Medicare and Medicaid, is captured. This form is essential for billing for institutional claims, as it encompasses the details needed for reimbursement, such as the type of service, the patient's stay, and other critical information. The other choices, while related to the broader context of medical billing, do not accurately reflect the specific use of the CMS-1450 form. The form does not specifically target patient demographics or dental services. Additionally, while it can be involved in outpatient billing, its primary purpose is more comprehensive and focused on institutional claims rather than solely on outpatient services.