tci Part B Insider - 2011 Issue 13

Physician Notes: CMS Glitch Could Mean You'll Face Consolidated Billing Denials

Plus: Get a handle on how to read remittance advice statements from your MAC.Keeping track of Medicare's consolidated billing rules can be tough as it is, but now CMS has announced it made an error that may result in erroneous denials for these services."It has come to the attention of CMS that, when the 2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility Consolidated Billing, Change Request #7159, was implemented in January 2011, a few codes were not included in the claims processing system edits," CMS noted in a statement...

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