The Part A taxonomy code problem affecting HIPAA 5010A2 837 institutional crossover claims is now fully resolved.
On March 13, 2012, CMS alerted all institutional providers that it was working expeditiously with its FISS Part A systems maintainer to correct a provider taxonomy mapping problem. CMS had recently uncovered a problem whereby incoming HIPAA 5010A2 837 institutional crossover claims contained a provider taxonomy code in 2000A PRV but the resulting Medicare-created version 5010A2 837 institutional crossover claims were devoid of this value. Update: The FISS systems maintainer corrected this problem on April 2, 2012. Note: HIPAA version 5010A2 837 institutional claims that Medicare would have created for claims crossover as of April 2, 2012 would have contained the provider taxonomy code on them if billed to Medicare. Claims Repair Process Available: FISS also offered CMS the ability to have affected claims that providers would have submitted during March 2012 repaired. The FISS repair job (under PAR FS6736) was elevated to production as of April 23 and has already been activated. Scope of Repair Process: CMS offered the repair process to State Medicaid Agencies, which utilize the provider taxonomy code to the greatest extent as part of their NPI matching strategy. Alabama, Connecticut, Oregon, and Vermont Medicaid notified CMS recently that they wish to participate in the available HIPAA 5010 837 institutional crossover claims repair process. Therefore, institutional providers in those states that billed their Medicare FI or A/B MAC during March, 2012 but that have not received payment from these Medicaid agencies may wish to allow time for the claims repair process to finalize. The latest indications are that the Coordination of Benefits Contractor (COBC) will transmit the repaired claims to the four identified Medicaid programs on Monday evening, May 7. ________________________________ If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads//MailingLists_FactSheet.pdf<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MailingLists_FactSheet.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/About-CMS/Agency-Information/ContactCMS/index.html). Thank you.
