Medicare Remittance Code Updates And Software Changes For Providers.pdf

MM11204.pdf
Preview of Medicare Remittance Code Updates and Software Changes for Providers
🔗 Source: cms.gov
📊 Size: 178 KB
👤 Author: CMS
⬇️ Downloads: 59

Summary

Affected Provider Types: Physicians, suppliers, and billing contractors billing Medicare Administrative Contractors (MACs).

Effective Date: July 1, 2019
Implementation Date: Also July 1, 2019

Background:
- HIPAA mandates standard electronic transactions using valid codes.
- Medicare policy requires CARCs and RARCs for monetary adjustments or policy information.
- CMS instructs MACs to update codes three times annually (around March 1, July 1, and November 1).

Changes:
- CR11204 updates Remittance Advice Remark Codes (RARC) and Claims Adjustment Reason Codes (CARC) lists.
- It directs ViPS Medicare System (VMS) and Fiscal Intermediary Shared System (FISS) to update Medicare Remit Easy Print (MREP) and PC Print software.
- The Washington Publishing Company (WPC) provides updated CARC and RARC lists three times annually; MACs must implement these updates accordingly.

Action Required:
- Ensure your billing staff is aware of the changes and obtain updated MREP and PC Print software if applicable.
- Verify code deactivations from WPC updates to avoid using outdated codes in original or derivative messages.

Additional Resources:
- Official CR11204 instructions: [Link](https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2019Downloads/R4253CP.pdf)
- MAC contact information: [MAC Website List](http://go.cms.gov/MAC-website-list)

Disclaimer: This summary is for informational purposes only and does not replace official regulations or guidelines.

Description

This MLN Matters article informs physicians, providers, and suppliers about updates to Remittance Advice Remark Codes (RARC), Claims Adjustment Reason Codes (CARC), and related software (MREP, PC Print) for Medicare billing effective July 1, 2019. Provider staff must be trained on the new codes and software versions.

Technical Information

  • File Format: PDF
  • File Size: 178 KB
  • Pages: 2
  • Language: EN
  • Author: CMS
  • Total Downloads: 59
  • Last Updated: 6 days ago

Document Overview

This PDF document about Medicare Remittance Code Updates and Software Changes for Providers provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Medicare Remittance Code Updates and Software Changes for Providers.

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