Claims Processing Issues Log

Here is a list of current system-related claims payment and processing issues. These issues have been reported to the Centers for Medicare & Medicaid Services (CMS) and/or the Multi-Carrier System (MCS). Please check often for updates before contacting the provider contact center. The issues are identified by stand alone articles and will be updated as needed.

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Article Update Notifications

Would you like to receive a notification when one of the CPIL articles is updated? At the bottom of each article, sign up in the new Article Update Notification box, and we'll send you an email with the new article any time it changes.

Note: You can only sign up for notifications on a per-article basis; if you would like notifications for more than one, please sign up for each article individually.

Latest Articles

      

HIPAA Eligibility Transaction System (HETS) Medicare Secondary Payer (MSP) Information - Part B 11/08/2019
HIPAA Eligibility Transaction System (HETS) Medicare Secondary Payer (MSP) Information 11/07/2019
Physical Therapy Services 11/05/2019
Emergency Ambulance Transports 10/31/2019
RESOLVED - Incorrect Entitlement Information 10/11/2019
RESOLVED: Claims for Nonparticipating Providers Processed from April 1, 2017, through February 28, 2019, Paid at the Incorrect Rate 09/19/2019
RESOLVED: Provider Enrollment Alert - Issues resulting from recent Provider Enrollment, Chain and Ownership System (PECOS) Release 09/18/2019
RESOLVED: Merit Based Incentive Payment (MIPs) Payment File Adjustments 09/11/2019
RESOLVED: Medicare Secondary Payer Claims Submitted on the CMS-1500 Part B Paper Claim Form 07/09/2019
RESOLVED: MIPS: Error in 2019 Payment Adjustment 05/17/2019
RESOLVED: Physician Assistant Services 04/08/2019
RESOLVED: Claim Denials Based on Provider Specialty 04/04/2019
RESOLVED: Modifiers Rejecting on 2019 New Mental Health Procedure Codes 03/29/2019
RESOLVED: Independent Diagnostic Testing Facility 03/20/2019
Resolved: Reference Lab and Anti-Markup Payment Limitation Services 03/13/2019
RESOLVED: Rituximab Denials Local Coverage Determination L35026 03/11/2019
Resolved - Skilled Nursing Facility Consolidated Billing Denials 02/13/2019
RESOLVED: High Volume of Pending Claims Requiring Medical Review 12/06/2018
RESOLVED: Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 11/27/2018
RESOLVED: Bipartisan Budget Act of 2018 11/19/2018
RESOLVED: Incorrect Denials Indicating Skilled Nursing Facility (SNF) Consolidated Billing (Includes Ambulance Services) 09/14/2018
   

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