tci Medicare Compliance & Reimbursement - 2009 Issue 14

DOCUMENTATION: Missing Info Will Generate New Remark Code Alert

Check that your claims include the required ordering physician ID number. Starting Oct. 5, intermediaries and carriers will begin Phase 1 of the physician ID edit -- which means you'd better double check details. They will still process a claim when an ordering doc's National Provider Identifier (NPI) number isn't in the PECOS or contractor file, the Centers for Medicare & Medicaid Services explains in Transmittal No. 510 (CR 6417), reissued June 26. But the claim will carry a new remark code: "M68 (missing/incomplete/invalid attending, ordering, rendering, supervising or referring physician identification)." When CMS begins Phase 2 of...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.

Thank you for choosing Find-A-Code, please Sign In to remove ads.