EHR Value Code Q5 Applying to Inpatient Claims - Resolved 11/29/21

Provider/Supplier Type(s) Impacted: Inpatient claims, 11X TOB, with discharge dates on or after 10/01/21.

Reason Codes: None.

Claim Coding Impact: CARC CO 237

Description of Issue: An EHR reduction is calculating on claims not subject to the reduction. The Shared System (FISS) is applying a Q5 value code to claims incorrectly.

Noridian Action Required: Noridian is researching issue with FISS and CMS.

Provider/Supplier Action Required: None.

Proposed Resolution/Solution: Noridian will provide updates as they are available.

11/29/21 - Noridian mass adjusted the claims to correct the value code. The reduction calculation was not applied in error and did not require any corrections.

Date Reported: 11/11/21

Date Resolved: 11/29/21


            Last Updated Wed, 02 Mar 2022 18:23:20 +0000