Alerts Details - JE Part A
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