tci Part B Insider - 2013 Issue 7

In other news

You’ll soon need to tighten up your tracking of monthly claim submissions for each beneficiary, thanks to Medicare contractors’ new system edits. CMS handed down Change Request 8142, which instructs MACs to implement certain system edits. The edits further reinforce the calendar-month billing requirement for hospice providers, according to Palmetto GBA. Get ready: The edits will return hospice claims when you submit more than one claim per month per beneficiary, or when you submit claims spanning more than one calendar month. Specifically, your Medicare contractor will return claims for bill types 81x or 82x when: ü There is...

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