Part B Insider (Multispecialty) Coding Alert
In other news ...
• Get ready to see a new remark message this fall if your claims don't contain the required ordering physician ID number. Starting Oct. 5, MACs will begin Phase 1 of the physician ID edit. They will still process a claim when an ordering doc's National Provider Identifier (NPI) number isn't in the PECOS or contractor file, CMS explains in Transmittal No. 510 (CR 6417). But the claim will carry a new remark code: "M68 (missing/incomplete/invalid attending, ordering, rendering, supervising or referring physician identification)." What this means:
When CMS begins Phase 2 of the project, claims without a valid physician NPI will get rejected, CMS notes in a related MLN Matters article at www.cms.hhs.gov/MLNMattersArticles/downloads/MM6417.pdf. The reissued transmittal is at www.cms.hhs.gov/transmittals/downloads/R510OTN.pdf.
Part B Insider (Multispecialty) Coding Alert
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Plus: Medicare payers will still process claims missing ordering docs' NPI numbers, but will send [...] - In other news ...
• Get ready to see a new remark message this fall if your claims don\'t [...]
