Arrow Fat Left Icon Arrow Fat Right Icon Arrow Right Icon Cart Icon Close Circle Icon Expand Arrows Icon Facebook Icon Twitter Icon Youtube Icon Hamburger Icon Information Icon Down Arrow Icon Mail Icon Mini Cart Icon Person Icon Ruler Icon Search Icon Shirt Icon Triangle Icon Bag Icon Play Video
We've Moved! Coding Leader is now Healthcare Training Leader. Visit us at www.HCTrainingLeader.com We've Moved! Coding Leader is now Healthcare Training Leader. Visit us at www.HCTrainingLeader.com
  • Payment Inpatient Information Only Claims
  • Post author
    Lacy Gaskins

Payment Inpatient Information Only Claims

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) work with the CWF Maintainer and Single Testing Contractor (STC), run test files, evaluate claims, and perform other tasks with regard to a change request around some inpatient codes.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3943CP.pdf

Subject: Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans

Number: 3943

Title: 10238

Release Date: December 22, 2017

Effective Date: April 1, 2015

Implementation Date: April 2, 2018

Special Notes: Transmittal 3898, dated October 27, 2017, is being rescinded and replaced by Transmittal 3943, dated, December 22, 2017, to change discharge date to admit/from date in business requirements (BR) 4, 5 and 7, remove edit code in BR 8 and change new report to existing report in BR 8.1. All other information remains the same.

  • Post author
    Lacy Gaskins