Thursday, August 21, 2014

Medicare Part A News- Jurisdiction H for August 18th, 2014

The following information is provided by Novitas Solutions.

System Alert
Issued 08/15/2014 at 1:06 PM

REMINDER - Dial-up Customers Using the 717 Area Code Modem Telephone Number – Less Than Two Weeks Left

EDI trading partners still connecting to Novitas via the former 717 area code modem telephone number will no longer be able to connect for claim submission and report retrieval as of 12:01 AM Eastern Time (ET) on Friday, August 29, 2014 – that’s less than two weeks away!

Effective August 29, 2014 at 12:01 AM ET, dial-up trading partners must transition to the new number, 904-371-9510. We have found that customers who have made the switch to the new dial-up number may need to down speed their modem if they are having difficulties connecting.

The majority of our trading partners have already made these changes, and we appreciate your assistance with this effort. Currently, customers still connecting through the 717 area code mode telephone number may already be experiencing:
  • Inability to connect for claim submission, remittance and/or report retrieval. 
  • Decreased connection quality. 
  • Frequent connection time-outs. 
If your modem is more than four years old, you may need to purchase a new dial-up modem in order to connect. Customers who have not changed to the new connections should speak to their software vendor immediately to resolve any connection issues you are experiencing. Additionally, trading partners who are located in the 717 area code will need long distance phone service in order to connect.

If you have questions regarding this change, please contact an EDI Analyst at the numbers listed below.

EDI Services:
1-877-235-8073, Option 3 (JL)
1-855-252-8782, Option 3 (JH)

Medicare News
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF and SB Claims

CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) and Swing Bed (SB) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF and SB providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF and SB providers should contact their MAC with any questions or concerns.

Medicare Learning Network (MLN) Articles from CMS

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