Medicare Part B Newsline March 2012 - Cahaba GBA

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Claim ControlNumberInformationsubmittedinconsistentwith billingguidelines.X222.351.2400.SV101-2.020 2,500 This Claim isrejected forrelational fieldInformationwithin theHCPCS.X999.DUPE 2,022 Rejected due toduplicateST/SEsubmission.When2400.SV101-1 ="HC",2400.SV101-2must be a validHCPCS Code onthe date in2400.DTP03 whenDTP01 = "472".Exact duplicate ofa previouslysubmittedtransaction set.Medicare B Newsline March 2012 16
Georgia 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:Production:Edit NumberX222.087.2010AA.NM109.050Number ofEditOccurrencesBusiness EditMessage22,737 This Claim isrejected forrelational fielddue to BillingProvider'ssubmitter notapproved forelectronicclaimsubmissionson behalf ofthis BillingProvider.X222.351.2400.SV101-7.020 19,008 This Claim isrejected forrelational fieldInformationwithin theDetaileddescription ofservice.X999.DUPE 11,462 Rejected dueto duplicateST/SEsubmission.X222.121.2010BA.NM109.0203,506 This Claim isrejected forExplanation 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.Exact duplicate ofa previouslysubmittedtransaction set.2010BA.NM109must be 10 - 11Medicare B Newsline March 2012 17
Page 1 and 2: March 2012This bulletin should be s
Page 4 and 5: Holiday Closure Schedule-2012Cahaba
Page 6 and 7: Using the Interactive Voice Respons
Page 8 and 9: Cahaba’s E-mail Notification Serv
Page 10 and 11: Alabama Medicare Part BTop Five Rea
Page 12 and 13: Mississippi Medicare Part BTop Five
Page 14 and 15: Alabama Medicare Part BTop Ten EDI
Page 18 and 19: InvalidInformationfor aSubscriber's
Page 20 and 21: Mississippi Medicare Part BTop Ten
Page 22 and 23: Provider Identifier(NPI).X222.403.2
Page 24 and 25: 7.025 rejected for theAcknowledgeme
Page 26 and 27: LCD - Pathology and Laboratory: Syp
Page 28 and 29: Claim Specific CERT Errors- January
Page 30 and 31: inpatient and outpatient hospital p
Page 32 and 33: HHS Announces Intent to Delay ICD-1
Page 34 and 35: Advanced Diagnostic Imaging (ADI)Re
Page 36 and 37: Screening for Sexually Transmitted
Page 38 and 39: Screening for syphilis:Pregnant wom
Page 40 and 41: G0445 on institutional claims in ho
Page 42 and 43: Revised and Clarified Place of Serv
Page 44 and 45: Inpatient Psychiatric Facility (POS
Page 46 and 47: meeting the “distinct entity” c
Page 48 and 49: counseling is furnished by a qualif
Page 50 and 51: If your specialty type is not one o
Page 52 and 53: Claim Adjustment Reason Code (CARC)
Page 54 and 55: Change Request (CR) 7681 establishe
Page 56 and 57: 5. Providers can terminate the imme
Page 58 and 59: 83718QW, 84450QW,84460QW, 84478QW82
Page 60 and 61: The TC of global services, and TC-o
Page 62 and 63: April 2012 Quarterly Average Sales
Page 64 and 65: Emergency Update to the CY 2012 Med
Page 66 and 67:
The therapy caps are determined on
Page 68:
Medicare B Newsline Quality SurveyP
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Medicare Part B Newsline March 2012 - Cahaba GBA

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