tci ED Coding & Reimbursement Alert - 2003 Issue 10

Go Electronic With Your Medicare Claims

Final rule from CMS mandates e-claims this fall If you don't submit your claims electronically by Oct. 16, in virtually every circumstance you won't get paid - and you won't be compliant with HIPAA's transaction rule.  CMS made that clear in an interim final rule published in the Federal Register Aug. 15. The rule formally requires that Medicare claims be submitted electronically starting Oct. 16, with only a handful of exceptions.  CMS makes the biggest exception for small providers and suppliers. CMS defines "small" entities as either a) a provider of services with fewer than 25 full-time...

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