CMS: April 2013 Home Health Claim Hold Lifted

The Centers for Medicare and Medicaid Services has directed its Medicare claims administration contractors to release all claims into processing that they have been holding as a result of technical issues associated with the April 2013 quarterly systems release.

The claim types being released on Wednesday, April 17, 2013, are (1) home health final claims, (2) outpatient critical access hospital and rural health clinic claims where dollars have been applied to the beneficiary deductible, (3) inpatient prospective payment (IPPS) system claims with new technology add-on payments, (4) IPPS claims with outlier payments, (5) outpatient claims with outlier payments, (6) ESRD claims with outlier payments,  and (7) psychiatric hospital claims with outlier payments and no other payment.  In summary, at this time all Medicare fee-for-service claims are being processed under normal procedures.

As a reminder, the Medicare claims administration contractors released the Medicare Advantage IPPS with indirect medical education claims as well as the assistant-at-surgery services and Ambulatory Surgical Center claims into processing on Monday, April 15, 2013. 

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