providers must continue to stay updated regarding policy and manual changes
that are issued by the Centers for Medicare and Medicaid Services (CMS). CMS
issues these changes in the form of transmittals entitled Change Requests
(CRs), which are usually accompanied by a Medicare Learning Network (MLN)
on December 22, 2011, CMS issued CR 7660 followed by MLN Matters article number
MM7660. The effective (and implementation) date of this change is March 22,
2012 and it provides additional instructions and clarifies two sections of
Chapter 10 in the Medicare Claims Processing Manual. CMS recently
discovered that Medicares instruction regarding the reporting of the Total
Charges field on claims is in conflict with the requirements of the HIPAA
Standard 837: Institutional Claim Format. Standard 837 requires that the Total
Charges field (SV203) always be reported and that zero is an acceptable
value.Medicares instructions since 2000 have stated that the field may be zero
or blank. A revised Chapter 10, Section 50 also provides additional billing
instructions to assist providers in preparing demand bills when requests by the
state Medicaid program do not correspond to dates of existing episodes of care.
Home Health specific transmittals
can found here
as can the accompanying MLN Matters article, both of which are listed in the
Downloads section of the transmittal.
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