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

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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


RESOLVED: Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit for Certain Radiation Therapy Codes 06/11/2018
Routine Foot Care Frequency Denials 06/07/2018
Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 06/06/2018
RESOLVED: Positron Emission Tomography (PET) (Sodium Fluoride-18) (NaF-18) to Identify Bone Metastasis of Cancer in the Context of a Clinical Trial-National Non-Coverage 06/05/2018
Bipartisan Budget Act of 2018 06/04/2018
LCD 33454, Varicose Veins of the Lower Extremities 05/30/2018
Incorrect Denials Indicating Skilled Nursing Facility (SNF) Consolidated Billing (Includes Ambulance Services) 05/29/2018
RESOLVED: Diagnostic Mammograms and Percutaneous Image-Guided Breast Biopsy 05/22/2018
RESOLVED: Speech Language Pathologist Service Denials 05/22/2018
Incorrect Denials for CT of the Head LCD L34417 05/17/2018
RESOLVED: Cosmetic and Reconstructive Surgery Local Coverage Determination L33428 05/10/2018
RESOLVED 2018 Therapy Claims 04/25/2018
RESOLVED: GlycoMark Testing for Glycemic Control Test Paid Incorrectly 04/18/2018
National Provider Identifier (NPI) Crosswalk 04/10/2018
RESOLVED: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 04/05/2018
RESOLVED: Revised Partial January 2018 Ambulatory Surgical Center (ASC) Payment Rates 03/23/2018
RESOLVED: Erroneous Additional Documentation Requests (ADRs) for Certain Ambulance Services 02/07/2018
RESOLVED: Incorrect Rejections for Abdominal Aortic Aneurysm (AAA) Ultrasound 02/07/2018
RESOLVED: Claims Rejections for HCPCS Modifier FY: Computed Radiography Services Furnished 01/31/2018
RESOLVED: System Generated Letters 01/24/2018

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