Palmetto GBA - Regional Home Health & Hospice Intermediary (RHHI) - Standardization of Fiscal Intermediary Use of Group and Claim Adjustment Reason Codes and Calculation and Balancing of TS2 and TS3 Segment Data Elements for RHHI

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Standardization of Fiscal Intermediary Use of Group and Claim Adjustment Reason Codes and Calculation and Balancing of TS2 and TS3 Segment Data Elements for RHHI

A Medlearn Matters article related to CR 3685 is now available on the CMS Web site. This article and CR 3685 informs providers that effective July 1, 2005, CMS will require Fiscal Intermediaries (FIs) to report a specific group code in combination with specific reason codes in electronic remittance advice (ERA) and in standard paper remittance advice (SPR) transactions. In addition, CMS has put forth additional requirements for the FI regarding correct calculation for TS2 and TS3 Segment Data Elements in remittance advice transactions.

To access the article, go to:

http://www.cms.hhs.gov/MedlearnMattersArticles/downloads/MM3685.pdf

Medlearn Matters articles are subject to revision. We recommend that you visit www.cms.hhs.gov/medlearn/matters frequently to stay abreast of updates.

If you have any questions, please contact the RHHI Provider Contact Center at 1-866-801-5301.

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last updated on 02/09/2005