FYI ~

Below are exerpts from  CMS Change Request #5549  I believe this is the 
information you are looking for....

"Effective October 1, 2007, Medicare will begin to accept a Present On 
Admission (POA) Indicator for every diagnosis on your inpatient acute care 
hospital claims.  However, providers must submit the POA on hospital claims 
beginning with discharges on or after January 1, 2008."

Beginning for discharges on or after October 1, 2007, hospitals should begin 
reporting the POA codes for acute care inpatient PPS discharges.  There is one 
exception, i.e., claims submitted via direct data entry (DDE) should not report 
the POA codes until January 1, 2008, as the DDE screens will not be able to 
accommodate the codes until that date.

Hope this helps !!
  ----- Original Message ----- 

  From: Gary Ring 
  To: [email protected] 
  Sent: Monday, July 23, 2007 11:05 AM
  Subject: [MEDITECH-L] POA Indicators


  I, several of my clients, and Meditech are debating the required 
Implementation Date for including POA (Present On Admission) Indicators on 
claims.  According to the CMS regs (Change Request CR-5499), POA Indicators are 
required on ALL claims effective 10/1/07.   However, while the reg is clear on 
the timeline for including these indicators on the UB04, the reg is not 
entirely clear (or at least may contradict) when they need to be included on 
the 837 4010A1 electronic claim.  It is our intepretation that they are also 
required on electronic claims effective 10/1/07, but Meditech is stating that 
they are not required until 1/1/08, and therefore will not ensure that the 
programming is for 10/1/07.

  If anyone else has reviewed this regulation, and can give us an opinion on 
your interpretation of the implementation date/timeline for UB04 and 837 
electronic claims, we would appreciate it.

  Thanks.

  Gary J. Ring 
  Strategic Resource Group, Inc. 
  11 Jones Road, Peabody, MA 01960 
  978-807-1573



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