Resolved - Skilled Nursing Facility Consolidated Billing Denials

 Current Status
 02/13/2019 - Resolved: Adjustments have been completed.

Issue Identified: January 28, 2019

Issue: CMS left Anesthesia CPT Codes 00731, 00732, 00811, 00812 and 00813 off of the 2018 Skilled Nursing Facility (SNF) consolidated billing (CB) Part B edit files causing claims to deny incorrectly. This issue was to be corrected with the October, 2018, quarterly update but the correction did not occur. This issue was corrected effective January 28, 2019.

Provider Action:
There is no provider action necessary. CMS has instructed all Medicare Administrative Contractors (MACs) to automatically reprocess all impacted claims within 90 days.

Status:
02/13/2019 - Resolved
: Adjustments have been completed.

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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