Articles and Blogs

MLN Matters Article SE19007

Location Matters Update: CMS Postpones Exact Match Billing Rule – AGAIN

[07/02/19]

Posted on July 2, 2019 in Health Law News

Published by: Hall Render

In a previous article, we reported on CMS’s implementation of new billing edits that will Return to Provider any hospital UB-04 claims that identify a service location that is not an exact match to a Medicare-enrolled location identified in Provider Enrollment, Chain and Ownership System (“PECOS”). As previously reported, those edits were scheduled to be... READ MORE

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CMS Postpones Rules for Billing Off-Campus Provider-Based Departments Until July 2019

[03/29/19]

Posted on March 29, 2019 in Health Law News

Published by: Hall Render

In a previous article, we reported on new billing edits that CMS is implementing, which will Return to Provider any hospital UB-04 claims that identify a service location that is not an exact match to a Medicare-enrolled location identified in Provider Enrollment, Chain and Ownership System (“PECOS”). Those edits were scheduled to be activated... READ MORE

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