CMS will implement claims edits to enforce a 2010 requirement that certain Medicare claims for home health, Part B laboratory and imaging services, and durable medical equipment identify the ordering or referring physician, according to an AHA News Now report.
Effective May 1, CMS will require that for a claim to be paid, the listed ordering or referring physician must be currently enrolled in Medicare and eligible to order or refer the service or item being billed.
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Presenters: Kyle Snider, MemorialCareMichael Hopkins, Northwestern Memorial HospitalDameka Miller, Trinity HealthGinger Sharp, Legacy HealthKellan Tittle, MBA, People Incorporated Mental Health Services
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