Medicare Fee-For-Service Part A Common Edit and Enhancements Module Editing Clarification
This is a clarification that Medicare Fee-For-Service (FFS) Part A edits (277CA, 999, and TA1) produced via the ASC X12 Version 5010 Common Edit and Enhancements Module (CEM) are not correctable using Direct Data Entry (DDE). The errors that cause a TA1, 999 or 277CA result in a rejected claim, which means the claim never reaches the DDE process. CEM edits must be corrected by submitting another 5010 837 institutional transaction. For more information on Version 5010, NCPDP D.0, and NCPDP 3.0; please visit the Versions 5010 and D.0 website<http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/Versions5010andD0/index.html?redirect=/Versions5010andD0>. ________________________________ 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.
