Home Health & Hospice Week

Industry Note:

5010-Related Software Changes Plague Home Care Providers' Claims

Having trouble getting your claims to go through since Oct. 1? You might want to make sure your software is up to date.

New 5010 claims edits "require that the Subscriber Group Number (SBR03/2000B) and Subscriber Group Name (SBR04/2000B) elements be empty," notes HHH Medicare Administrative Contractor CGS on its website. If you failed to implement the necessary related software changes in PC-ACE Pro32, the system is rejecting your claims, the MAC explains.

The new version of PC-ACE Pro32 is available for download on your MAC's website, notes MAC National Government Services in a message to providers.

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