tci Medicare Compliance & Reimbursement - 2011 Issue 9

Industry Notes: CMS Holding Colorectal Cancer Screening and Hepatitis B Vaccine Claims

If some of your Medicare Part B claims are rolling in more slowly than usual, CMS has the reason why. On April 8, CMS announced that it discovered several claims processing errors that MACs are in the process of correcting, as follows: Preventive services codes and surgical codes billed on the same date as a colonoscopy, flexible sigmoidoscopy, or barium enema "that were initiated as colorectal cancer screening services with dates of service on and after Jan. 1, 2011 were suspended due to deductible and coinsurance being erroneously applied," the announcement said. CMS began correcting this problem on...

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