Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DMEPOS, and Part A Home Health Agency Claims
Wednesday, March 20, 2013
3:00 PM -
Registration is no longer available for this event.
CMS will hold a National Provider Call on March 20 from 3-4:00 ET on the “Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DMEPOS, and Part A Home Health Agency Claims.” Effective May 1, 2013, CMS will instruct contractors to turn on Phase 2 denial edits on the following claims to check for a valid individual National Provider Identifier (NPI) and to deny the claim when this information is missing
||Medicare Part B laboratory and imaging claims and Durable Medical Equipment, Orthotics, and Supplies (DMEPOS) claims that require an ordering or referring physician/non-physician provider; and
||Part A Home Health Agency (HHA) claims that require an attending physician provider.
||Provider Types Eligible to Order/Refer
||Action Steps for Billing Providers
||Action Steps for Providers Who Order/Refer
Part B providers which order, refer and/or bill for these services; Home Health Agencies
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