Temporary Delay in Implementing Ordering and Referring Denial Edits

Due to technical issues, the implementation of the Phase 2 ordering and referring denial edits is being delayed.  These edits would have checked claims for an approved or validly opted-out physician or non-physician.  If either of these were missing or incorrect, claims would deny.

CMS will advise of the new implementation date in the near future.  In the interim, informational messages will continue to be sent for those claims that would have been denied had the edits been in place.  Click here to read the announcement on the CMS website.

For tips on Home Health Billing or more info regarding this article, contact Imark Consulting at 888-370-3339 or www.homehealthbilling.com.

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