MLN Matters® Special Edition Article #SE1011, “Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856),” was revised and is now available in downloadable format.
This article is designed to provide education on phases 1 and 2 of the edits CMS will perform on certain claims submitted by providers who order/refer services to Medicare beneficiaries. It includes a list of questions and answers related to the edits and how they will impact providers.
Note: CMS has not announced a date when the edits for Phase 2 will become active. CMS will give the provider community at least 60 days notice prior to turning on these edits.
Tags: MLN Matters, PECOS