Industry Notes:
System Incorrectly Denies Claims For Nonexistent Physician PECOS Problems
Published on Fri Mar 27, 2015
Pay attention: Some PECOS edit de-nials may not be valid. “Some home health claims and adjustments may have been denied inappropriately with reason code 37236 or 37237,” HHH Medicare Administra-tive Contractor CGS says on its website. “Some home health claims and adjustments are being submitted with ordering/referring physician information that matches the Medicare Ordering and Re-ferring File on the Centers [...]