Monday, November 2, 2015

CMS Posts Revised Instructions for Billing Services On or After 10-1-2015

CMS Medlearn Matters (MLN) has re-issued SE 1408 - Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) – A Re-Issue of MM7492.  Although this is a FFS guidance, it was referenced in the September 2015 Encounter Data Processing System Newsletter, for guidance on submission of claims/encounters on or after the 10-1 transition date to ICD-10.  There are two important new pieces of information included:

v  The submission of Inpatient Home Health Services (Part B) services—type of bill 32X * (use the thru date)
v  The submission of DME claims that span dates of service before 10-1 and on or after 10-1 (use the from date)

I think there will be a number of DME claims like this, so the update is important.

You can review the update on the CMS website, here.

* The type of bill 32X is not exclusively used for this type of service. This is only for Part B only Medicare  members who are in an inpatient hospital setting, receiving Home Health services there. 

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