CMS identified a national system issue which may have inadvertently adjusted previously processed Part B claims with dates of service (DOS) on or after January 1, 2021. These adjustments processed on July 29 through August 2, 2022.
Certain monitored anesthesia codes not included in the 2022 annual Common Working File (CWF) coding update were paid incorrectly. Providers who received corresponding payment from a SNF must return it to receive payment from Medicare.
Claims that were canceled for 2022 dates of service are posting to the common working file (CWF) and causing various processing issues depending on the claim type. First Coast is working with CMS to resolve the issue.
A claim processing issue has been identified that potentially impacts all Cohort 1 Primary Care First (PCF) participants that submitted claims for flat visit fee (FVF) eligible services processed between January 1, 2021, and February 3, 2021.
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