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Pulmonary Rehabilitation (PR) Services
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Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months
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Appeals Revisions AIC Requirements
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Date Issued:
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04-28-2010
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Implementation Date:
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10-04-2010
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Effective Date:
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10-01-2010
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Source:
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CMS - Transmittal
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Source#:
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CR6768
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Category:
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Bill/Pmt SNF Inpatient
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CBSI Contact:
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Missy Tieken
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This Change Request updates the CWF to accept new insurer codes for Health Reimbursement Account and Health Savings Account information.
Medicare as Secondary Payer Insurer Type codes are specific codes that indicate the source of a beneficiary?s primary insurance. (i.e. ?A? = Insurance or Indemnity; ?J? = Hospitalization Only Plan.) Currently, the Common Working File (CWF) does not have a Medicare as Secondary Payer Insurer Type code to identify a HRA or HSA. In order to properly identify Medicare Secondary Payer (MSP) occurrences and coordinate benefits, the insurer type of ?R? for HRA and ?S? for HSA will need to be added to CWF. The new insurer type codes ?R? and ?S? are to be handled in the same manner in which current Medicare as Secondary Insurer Type codes are processed.
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http://www.cms.gov/transmittals/downloads/R74MSP.pdf
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