Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations - Update - Revised

MLN Matters Number: SE19007 Revised
Article Release Date: March 24, 2020
Related CR Transmittal Numbers: R1704OTN and R1783OTN
Related Change Request (CR) Number: 9613; 9907


Note: CMS revised this article on March 24, 2020, to announce a delay until further notice to the activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations.

SE19007 conveys the activation of systematic validation edits to enforce the requirements in the Medicare Claims Processing Manual, Chapter 1, Section 170, which describes Payment Bases for Institutional Claims. These requirements are not new requirements. The Centers for Medicare & Medicaid Services (CMS) discussed these requirements in CRs 9613 and 9907, both of which were effective on January 1, 2017. MLN Matters articles for CRs 9613 and 9907 are available. On March 24, 2020, CMS announced a delay until further notice to the activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations. Make sure your billing staff is aware of these instructions.

View the complete CMS Medicare Learning Network (MLN) Matters Special Edition (SE)19007.

            Last Updated Fri, 17 Apr 2020 17:34:24 +0000