Medicare Part B Newsline March 2012 - Cahaba GBA

Alabama Medicare Part BTop Ten EDI 277CA Edits for January 2012 for Version 5010For claim submissions in the 5010 format that pass high-level edits a 277CA transaction is created. Thistransaction will indicate file, batch, claim, and line level edits.For spreadsheets that list the 277CA edits and give more detailed information about them please visit theCMS website at http://www.cms.gov/MFFS5010D0/20_TechnicalDocumentation.asp. Visit the WashingtonPublishing Company’s website at http://www.wpc-edi.com for more information about 277CA transactionsand the codes used in them.In order to increase the number of claims that successfully pass through front-end editing and intoprocessing Cahaba GBA EDI Services is providing you with the top ten 277CA edits. For the month ofJanuary 2012, these are:ProductionEdit NumberNumber ofEditOccurrencesX222.087.2010AA.NM109.050 14,764Business EditMessageThis Claim isrejected forrelational fielddue to BillingProvider'ssubmitter notapproved forelectronicclaimsubmissions onbehalf of thisBillingProvider.X222.351.2400.SV101-7.020 8,637 This Claim isrejected forrelational fieldInformationwithin theDetaileddescription ofservice.X222.094.2010AA.REF02.050 7,451 This Claim isrejected forrelational fieldBillingProvider's NPI(NationalExplanation ofEdit2010AA.NM109billing providermust be"associated" to thesubmitter (from atrading partnermanagementperspective) in1000A.NM109.2400.SV101-7must be present.when 2400.SV101-2 is present on thetable of procedurecodes that require adescription.2010AA.REF mustbe associated withthe provideridentified in2010AA.NM109.Medicare B Newsline March 2012 14