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Hospital Exact Match Claim Edits Further Delayed Amidst COVID-19 Pandemic

Posted on March 25, 2020 in Health Law News

Published by: Hall Render

In a previous article, we reported on CMS’s implementation of new billing edits that will Return to Provider any hospital UB-04 claims that identify a service location that is not an exact match to a Medicare-enrolled location identified in Provider Enrollment, Chain and Ownership System. The implementation date was set to begin in April of 2020.

Due to the global COVID-19 pandemic, on March 24, 2020, CMS announced a delay “until further notice” to the activation of these edits. At this time, we do not have a new implementation date. This delay is particularly helpful for those Hospitals looking to bill for services at an Alternate Care Site in response to COVID-19. Hall Render will continue to monitor this issue.

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