CS Modifier Deductible and Coinsurance - Resolved 08/18/20

Provider/Supplier Type(s) Impacted: Outpatient Prospective Payment and FQHC claims.

Reason Codes: Not Applicable.

Claim Coding Impact: CS Modifier

Description of Issue: Claims submitted with modifier CS are applying deductible and coinsurance in error.

Noridian Action Required: Noridian is working on system updates and will be adjusting claims.

05/07/20 - The shared system has been corrected as of 05/04/20.

08/18/20 - Noridian identified and adjusted additional claims that were not corrected in the earlier adjustments, including FQHC claims.

Provider/Supplier Action Required: None

08/18/20 - If providers have any claims that have not been reprocessed since the July release 07/06/20, please contact the PCC for further assistance.

Proposed Resolution/Solution: Noridian will mass adjust claims.

05/07/20 - Mass adjustments will begin the week of 05/11/20.

05/13/20 - Noridian initiated the adjustments.

08/18/20 - Noridian initiated additional adjustments.

Date Reported: 04/28/20

Date Resolved: 08/18/20


Last Updated Wed, 19 Aug 2020 14:32:42 +0000