Correction to Editing Update for Vaccine Services

MLN Matters Number: MM11867
Related CR Release Date: August 7, 2020
Related CR Transmittal Number: R10275OTN
Related Change Request (CR) Number: 11867
Effective Date: January 1, 2021 * For claims received on or after this date
Implementation Date: January 4, 2021

CR 11867 informs you that Medicare is changing the Common Working File (CWF) to bypass line-item dates of service for vaccines reported on inpatient Part B claims with Type of Bill (TOB) 12X and 22X when the dates of service (DOS) equal a posted outpatient TOB 73X or 77X service dates, or if present, occurrence span code visit date, regardless of the date of service. Please make sure your billing staffs are aware of these corrections.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11867.


            Last Updated Mon, 10 Aug 2020 14:38:22 +0000