Tuesday, August 18, 2015

CMS Updates to Electronic Claim Transaction Codes

Dan Ciolek


Recently, the Centers of Medicare and Medicaid Services (CMS) issued a MLN Matters article MM9278 titled – Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update, which summarizes important updates to electronic claim transaction codes. These codes provide either supplemental explanation for a monetary adjustment or policy information that generally applies to the monetary adjustment are required in the remittance advice and coordination of benefits transactions.

AHCA recommends that billers review these updated new, modified, or deactivated codes and their respective effective dates.

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