Bypassing Payment Window Edits for Donor Post-Kidney Transplant Complication Services

MLN Matters Number: MM11312
Related CR Release Date: August 9, 2019
Related CR Transmittal Number: R2338OTN
Related Change Request (CR) Number: 11312
Effective Date: April 1, 2012
Implementation Date: January 6, 2020

CR11312 directs MACs to implement logic that ensures they bypass payment window edits (3-days and 1-day) when processing claims for donor post-kidney transplant complications services. MACs will hold certain claims, as noted below, until Medicare's Common Working File (CWF) system edits these claims correctly. Please be sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11312.

 

Last Updated Aug 12, 2019