From January 26 through February 16, 2020, a software issue caused skilled nursing facility (SNF) claims to be incorrectly canceled with a message that there was no three-day qualifying hospital stay. This article provides information concerning reprocessing of claims related to unsolicited response 7123.
CMS has updated coverage conditions for TAVR for treatment of symptomatic aortic valve stenosis with CED, effective June 21, 2019. When brought to our attention, First Coast will override medical policy edits to allow for processing and payment of these services. [CR 11660]
An incorrect allowance for code A9588 was loaded into the system effective for claims with dates of service beginning January 1, 2020. Beginning March 5, 2020, claims are being priced based on the invoice amount; claims that were underpaid will be adjusted.
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