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tci General Surgery Coding Alert - 2017 Issue 12
Reader Question: Turn to Paper Claims — For Now
Question: We operate a small surgical practice in a rural area, and we're having problems with our Medicare electronic claims submission process. What are our options until we get this fixed - holding a bunch of claims would be very difficult for us to sustain?
Iowa Subscriber
Answer: CMS does require that providers submit claims electronically, but there is an exception available for "small" practices, which you say that you are.
Option: You can file paper claims to Medicare if you meet the following definition of a small practice:
"Providers that have fewer than 25 full-time equivalent employees (FTEs)...
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