tci Medicare Compliance & Reimbursement - 2013 Issue 22

Industry Notes

This MAC Is Rejecting Claims Via EDI If you’ve recently started using the electronic data interchange (EDI) — or even if it’s old hat to you — your payer might be experiencing issues when it comes to processing those EDI claims. NationalGovernmentServices (NGS), a Part B Payer, released an email blast notification on Oct. 30 indicating that the October 2013 Quarterly Release included an update that verified eligibility for incoming claims. Unfortunately, the update appears to have caused more issues than it fixed. “This new method has caused errors such as not recognizing spacing, punctuation, and...

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