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QUESTION IMAGE

the cms - 1500 claims instructions for the childrens health insurance p…

Question

the cms - 1500 claims instructions for the childrens health insurance program (chip) are developed by:
a. a payer selected by the state
b. centers for medicare and medicaid services
c. a clearinghouse selected by the state
d. a medicare administrative contractor

Explanation:

Brief Explanations

The CMS - 1500 form is a standard claim form used in the United States for medical billing. The Centers for Medicare and Medicaid Services (CMS) is the federal agency that oversees Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). CMS develops and maintains the instructions for the CMS - 1500 claims form. A payer selected by the state (option a) would be more involved in processing claims rather than developing the instructions. A clearinghouse (option c) is an intermediary that processes claims but not responsible for form instructions. A Medicare administrative contractor (option d) is responsible for specific Medicare - related administrative tasks but not the overall instructions for the CMS - 1500 form for CHIP.

Answer:

B. Centers for Medicare and Medicaid Services