tci Part B Insider - 2013 Issue 8

Physician Note: Could May 1 Be Final Deadline for Ordering/Referring Edits?

Plus: Want your say on the new diagnosis changes? Join CMS’s latest seminar. Part B practices have been waiting patiently for an official word regarding when CMS will turn on the ordering/referring edits, at which point claims without an ordering/referring physician’s NPI will could be rejected. A recently released—and quickly rescinded—MLN Matters article on the topic suggests that the date could be right around the corner. On Feb. 25, CMS released MLN Matters article SE1305, which said, “Effective May 1, 2013, CMS will turn on the Phase 2 denial edits. This means that Medicare...

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