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Update to the Part A Open Issues Log:
The correction for claims for BPCI Model 1 and Model 4 editing with reason codes E0019 and/or E460S is tentatively scheduled for October 5, 2015.
The correction for pricing issues related to HCPCS 77063 is tentatively scheduled for October 5, 2015.
Medicare Learning Network (MLN) Articles from CMS
Revised:
MM9114 - Updates on Hospice Election Form, Revocation, and Attending Physician
New:
MM9106 - Payments to Inpatient Rehabilitation Facilities (IRFs) That Do Not Submit Required Quality Data
CERT Identification Online Tool Updated
The CERT Identification Online Tool has been updated with the most recent claim sampling. You can find this tool on the CERT Center under "Interactive Tools". Simply enter the CID number and click the "search CID" button to obtain a status of your CERT sampled claim. Providers can find the CID number assigned to the claim under review on the letter from the CERT Documentation Contractor.
This tool provides information for sampled claims where a decision has been made by the CERT contractor. Once you enter the CID number (numbers only) and click the "search CID" button, the following data will be displayed:
- Claim in Error: - Identifies whether a CERT error was assessed or not
- Status Date: - Identifies the last date that CERT updated/reviewed the case
- Status Decision: Identifies where the claim is with the CERT Review Contractor
- Appealed: Identifies if an appeal was initiated and what the status of the Appeal is
- Error Code: Identifies if an error was assessed, that error code will be listed here
