Processing Issues
Modified: 3/16/2018
Erroneous denials have resulted in providers receiving overpayment demand letters.
Modified: 4/20/2018
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 4/12/2018
First Coast Service Options Inc. (First Coast) has identified Part B radiopharmaceutical claims processed March 27 through March 28, 2018, were denied in error.
Modified: 2/16/2018
Some providers may notice a difference in how deductible and coinsurance amounts are being displayed on the remittance advice for QMB claims. CMS reverted back to the previous display on December 8, and provided a guide to identify Medicare cost-sharing amounts on remittance advice. A permanent solution is tentatively scheduled for summer 2018. No provider action is required.
Modified: 2/16/2018
Due to the October implementation of 2017-2018 influenza vaccine payment allowances, the Centers for Medicare & Medicaid Services has directed contractors to reprocess claims that were processed on or after August 1.
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