Last Modified: 5/14/2020
Location: FL, PR, USVI
Business: Part B
Q: Which types of claims will be impacted by CR 6417?
A: Change request (CR) 6417
will impact those Medicare claims that require an ordering/referring provider to be listed on the claim, which included some of the following types of claims:
• Claims billed by laboratories (e.g., diagnostic tests)
• Claims billed by imaging centers (e.g., Magnetic resonance imaging (MRI) tests, X-rays)
• Claims billed by suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)
• Claims billed by Part A home health agencies
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Source: CR 6417
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