decisionhealth Newsletters, Part B News - 2008 Issue 2 (February)
Legacy numbers must be off claims by May 23
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Article Overview
This article explains a Medicare claims filing update from CMS that affects provider identification on claims by a specified deadline. It is relevant to billing staff, coders, and revenue cycle teams who submit claims under CMS reporting rules and need to understand the shift in required provider identifiers, remittance behavior, and limited exceptions mentioned in the guidance.
Why This Topic Matters
Claims containing legacy provider numbers may be rejected, and the article outlines the filing changes needed to reduce submission errors and avoid preventable denials. It also highlights how remittance messaging may not clearly reflect the underlying issue, making accurate claim preparation especially important.
What You Will Learn
- What CMS changed regarding provider identifiers on Medicare claims
- Which claim fields are affected by the transition from legacy numbers to NPI-based reporting
- How remittance advice may reflect claims that include legacy numbers
- What limited exceptions are mentioned for retaining legacy identifiers
- Which general claim-filing adjustments are described for the deadline
Who Should Read This
- Medical coders
- Billing specialists
- Claims processors
- Revenue cycle staff
- Provider office administrative teams
Codes Discussed
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