First Coast Service Options is reprocessing diagnostic laboratory services provided in an ambulatory surgical center (ASC) that were incorrectly denied. This issue impacted independent laboratories for claims processed on or before March 4, 2013.
Some providers have received an additional development request (ADR) that contains a due date the same as the date of the letter, which has caused claims to reject in error with reason code 39721.
Medicare claims administration contractors have been directed to release all claims into processing that they have been holding as a result of technical issues associated with the April 2013 quarterly systems release. [PERL 201304-07]
Due to an issue with qualifying stay edit C7123, Medicare contractors will bypass edit C7123 for all skilled nursing facility and swing bed claims until the common working file logic is corrected to identify prior qualifying hospital stays. [CMS PERL 201304-05]
Part A Skilled Nursing Facility (SNF) claims that were returned in error, for reason code EA031, may now be resubmitted.
The Centers for Medicare & Medicaid Services (CMS) recently placed a hold on payment of April 2013 claims with new technology add-on payments. CMS expects to resolve the technical issue and will release such claims on April 15, 2013.
Part A outpatient claims that spanned multiple dates of service and were returned to provider (RTP) in error (due to edit 32061) may now be resubmitted for reprocessing.
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