Updates Effective: Thursday, June 12, 2008
Last Reviewed Date: Tuesday, September 2, 2008
Providers Affected (*) |
Status Location |
Reason Code |
Description of Issue |
Status |
Provider Action |
| PA and MD | SMOPPS | 7PAPS | Screening pap smears containing HCPCS Q0091 on TOB 12x, 13x, and 85x for dos on or after 04-01-08 | CMS instructed contractors to hold claims until updates are made on 09-02-08 Effective immediately, CMS has instructed contractors to continue to hold all claims until the successful implementation of the Outpatient Code Editor (OCE), scheduled for January 5, 2009. In the interim, OPPS facilities may choose not to submit HCPCS code Q0091 until the successful implementation of the OCE, in order to avoid a delay in reimbursement for other services submitted on the claim. Interest will be paid on clean claims held longer than 30 days after the date of receipt. |
None |
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*
00363 = Fiscal Intermediary servicing primarily Pennsylvania providers (this number would equal the intermediary number entered into HIQA)
00366=Fiscal Intermediary servicing primarily Maryland and the District of Columbia providers (this number would equal the intermediary number entered into HIQA)
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