Beginning Thursday, April 7, 2011, CMS instructed FIs and A/B MACs to hold claims with the following criteria, until Change Request (CR) 7133R2 was installed into production on Monday, May 9, 2011:
§ HCPCS G0436 and/or G0437 § Revenue Code 0942, 096X, 097X, or 098X § Dates of Service on or after Saturday, January 1, 2011 § Diagnosis Code 305.1 or V15.82 § Occurrence Code 32 not present When CR7133R2 was installed, FIs and A/B MACs were instructed to release the held claims and enter condition code "15" to indicate they were clean claims in which payment was delayed due to CMS's processing delay and, therefore, not subject to claims processing timeliness standards. -------------------------------------------------------------------------------------------------- Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf). If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.gov/ContactCMS). Thank you.
