CMS - Submission of Informational Only Claims by CAHs for Electronic Health Records (EHR) Purposes

On October 15, CMS issued transmittal 2066 explaining a change request to the Medicare Claims Processing Manual. Acute care hospitals already submit informational only bills for purposes of including Part C days in the Disproportionate Share (DSH) calculations. However, Maryland waiver hospitals and CAHs do not currently submit informational only bills. In order for CMS to capture Part C days for purposes of calculating EHR payments, Maryland waiver hospitals and CAHs must submit informational only claims to Medicare, effective for discharges October 1, 2010. Informational only claims are claims billed for patients enrolled in a Medicare Advantage (MA) Plan. For more information, click here.