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Important Reminder for New York Part B Providers: Cannot Bill More Than 50 Lines of Coding

According to the Implementation Guide, claims with more than fifty (50) lines of coding will not be accepted.

If you submit a file with a claim that contains more than 50 lines of coding, the whole file will be deleted. You will have to create the entire file again and resubmit that file without the error claim(s). This causes an unnecessary delay in the processing of your claims.

Important Note: You will not receive a report from us letting you know that the file has been deleted.

There are ways to prevent this from happening. Please get in touch with your vendor to discuss options, such as:

  • Billing certain time parameters,
  • Billing only certain blocks of time.

Discussing these options with your software vendor may help you make the use of your software more efficient. Your vendor will be able to work with you to prevent this from happening in the future.

Posted: 02/23/2004

CPT codes, descriptions, and other data only are copyright 2003 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

 


 

   
 
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