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(16 items found)
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Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
$21.99
1-3 pack
Save 4%
$20.99
4+ pack
Medical Arts Press® Log of Hospital Visits; Pocket-sized, 1-Part
Item #: 901-20030
Updated with new 2010 consult codes and helpful chart on inside front cover
Make a check mark or write in the level of code for each patient visit
When patient is discharged, detach and give to billing - it's virtually foolproof
$64.99
1 pack
Save 3%
$62.99
2+ pack
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
Item #: 901-712137
Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
$52.99
Per pack
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
$59.99
Per pack
Medical Arts Press® Privacy Practices Acknowledgement
Item #: 901-28984
One page
8-1/2x11"
Patient Documentation
$9.79
Per pack
ComplyRight Payroll Change Notice Forms (AR0394)
Item #: 901-712138
Ensures all employees have updated, current payroll records
Size: 8 1/2" X 11"
50 per pack
$55.99
Per pack
ComplyRight Employee Separation Forms (AR0373)
Item #: 901-712163
50 Pack
Size: 81/2” x 11”
8 1/2" x 11"
$44.99
Per pack
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 901-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
$104.99
Per carton
TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)
Item #: 901-309934
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 500 forms per package
$61.99
1-3 pack
Save 4%
$58.99
4+ pack
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
$129.99
Per each
ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
Item #: 901-2549341
Comprehensive employee record folder helps to ensure the safety of private employee data
Number of parts: 1
Contains 25 files per package
$119.99
Per each
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
$45.99
Per pack
New Customers
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$67.99
Per pack
ComplyRight 2024-2025 Fiscal Attendance Calendar, 50/Pack (A42005015)
Item #: 901-1949176TFP
Comes in a storage file folder with ComplyRight™ tips for optimal, complaint use
3-hole punched
Measures 8.5" x 11"
$73.99
Per pack
ComplyRight 2024-2025 Academic Attendance Calendar, 50/Pack (A43005015)
Item #: 901-1949178TFP
Features an academic year calendar format (August 1 – July 31) and easy coding system
Comes in a storage file folder with ComplyRight™ tips for optimal, complaint use
3-hole punched
$83.99
Per pack
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)
Item #: 901-728247
Communicates mandatory HIPAA rules to healthcare employees
Educates employees on how and when patient's medical information may be disclosed and what to do if a breach occurs
Poster size 12 x 18"
$40.99
Per each