Medicare has started adjusting claims for counseling to prevent tobacco use submitted between Jan. 1 and April 4, Trailblazer reports in its Oct. 12 notice.
NOTE: The problem that caused claims to be incorrectly processed only affected Part A claims and was corrected in May and any claims held as a result were released.
Which claims are affected: Any claims submitted during the first quarter of the year that included HCPCS code G0436 and/or G0437; revenue codes 0942, 096X, 097X or 098X; diagnosis codes 305.1 or V15.82; and where occurrence code 32 is not present were not processed correctly and will be automatically adjusted, CMS says.
TIP: You do not have to do anything to get the adjustment. All affected claims will show an adjustment on you remittance advice.
All adjustments should be completed by Nov. 8. Click here for more information on the mass claims adjustments.