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Medicare Compliance & Reimbursement

Industry Note:

Avoid Diagnosis Code Debacles on the CMS-1500 or Risk Denials

Make sure you double-check line 21 on your CMS-1500 before you send Medicare your claims, new guidance suggests. The agency will automatically deny submissions that list duplicate diagnosis codes for line 21 on paper claims. “CMS-1500 hard copy claims should not list the same diagnosis code twice within item 21, or your Medicare Administrative Contractor will return these claims as [...]

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