ESRD Dialysis Line Level Covered Charges Under 100 Dollars - Resolved 11/15/23

Provider/Supplier Type(s) Impacted: ESRD

Reason Codes: Not applicable.

Claim Coding Impact: Dialysis revenue codes 0821, 0831, 0841, 0851 or 0881 and HCPCS Codes 90935-90999

Description of Issue: FISS has identified ESRD claims processed in error on or after 07/17/23, through 09/28/23. Impacted claims have covered charges on the dialysis line greater than 0.00 and less than 100.00, or both covered and non-covered charges on the dialysis line are zero.

Noridian Action Required: Noridian will provide updates as they are available.

Provider/Supplier Action Required: None.

Proposed Resolution/Solution: Claims will be identified and adjusted. The estimated date for the adjustments is 11/13/23.

11/15/23 - The claims were adjusted on 11/07/23.

Date Reported: 10/30/23

Date Resolved: 11/15/23

 

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