tci Medicare Compliance & Reimbursement - 2006 Issue 40

INDUSTRY NOTES: Carriers Will Consider All Diagnosis Codes On Medicare Claims

Plus:  Home care agency owner nabbed for defrauding Medicare of $40 million.The Centers for Medicare & Medicaid Services (CMS) is requiring Medicare carriers to change their claims processing systems.Effective on July 1, 2007, the Multi-Carrier System (MCS) will process all diagnosis information that providers report on their claims for Medicare payment determination, instead of considering only the first four diagnosis codes on the claims, according to an Oct. 27 CMS transmittal.The MCS has been considering all diagnosis codes on claims for clinical laboratory services, but has done so manually and for no other types of claims...

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