Certified Revenue Cycle Representative (CRCR) Practice Exam 2025 - Free CRCR Practice Questions and Study Guide

The CMS 1500 form is specifically designed for use by non-institutional providers when billing third-party payers. This includes a range of services provided by individual practitioners and groups who are not hospital-based.

Hospital-based mammography centers, which are typically considered part of a larger hospital or healthcare system, more commonly use the UB-04 form for billing. This form is designated for institutional providers that deliver services within a facility.

In contrast, private practice physicians generally bill using the CMS 1500 form, as do urgent care centers and independent laboratories. These providers often operate outside of a hospital setting and therefore are more aligned with the usage of the CMS 1500 for claims submission to commercial insurance and government payers like Medicare and Medicaid.

In summary, the characteristic of the CMS 1500 form being tailored for non-institutional providers makes it the suitable choice for private practice physicians, urgent care centers, and laboratories, while hospital-based facilities like mammography centers typically opt for the UB-04 form, confirming that the best answer lies with private practice physicians, alongside the others noted.