MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
|
Guidance
Regarding Elimination of Standard Paper Remittance (SPR)
Advice Notices in the Old Format - (Revised)
| Note: This article was revised
on November 19, 2004, to correct a typographical
error in the third line of the Background section.
Specifically, the phrase “date
elements” was corrected to read “data
elements.” |
Provider Types Affected
All
Medicare physicians, providers, and suppliers
Provider Action Needed
Be
advised that only the most recent version of the Standard
Paper Remittance (SPR) Advices will be used. The 835
version 4010A1 flat file is the appropriate format to
produce SPRs. Also, no data may be included in paper
remittance advices that are not included in an Electronic
Remittance Advice (ERA).
Background
The Centers for
Medicare & Medicaid Services (CMS) prohibits the
inclusion of data in paper remittance advice notices that
is not included in the ERA transactions. The most recent
version of the SPR Advice and the ERA contain the same
information in the comparable fields and data elements,
including the same codes. The same flat file should be
used to produce both the SPR and 835 version 4010A1
ERA.
CMS has issued a memorandum to all Medicare carriers
and fiscal intermediaries, including Durable Medical
Equipment Carriers (DMERCs) and Regional Home Health
Intermediaries (RHHIs), stating that effective January 1,
2005, only the 835 version 4010A1 flat file is to be used
to produce the SPRs; no other format for SPRs will be
used.
Additional Information
Refer to
Chapter 22 of the Medicare Claims Processing Manual,
Publication 100-4, which can be found online at:
http://www.cms.hhs.gov/manuals/104_claims/clm104c22.pdf
.
Additional information regarding the Fiscal
Intermediary Part A 835 flat file, including a sample of
the most recent SPR format, is available in CR 3344. You
may view that CR at: http://www.cms.hhs.gov/Transmittals/downloads/R252CP.pdf
.
If you have any questions regarding receipt of or
conversion to ERAs, please contact your
carrier/intermediary. If you bill an intermediary, their
number may be found at: http://www.cms.hhs.gov/providers/edi/anum.asp
.
If you bill a carrier, their number may be found at:
http://www.cms.hhs.gov/providers/edi/bnum.asp
.
Disclaimer
Medlearn Matters articles are prepared as a service to
the public and are not intended to grant rights or impose
obligations. Medlearn Matters articles may contain
references or links to statutes, regulations, or other
policy materials. The information provided is only
intended to be a general summary. It is not intended to
take the place of either the written law or regulations.
We encourage readers to review the specific statutes,
regulations, and other interpretive materials for a full
and accurate statement of their contents.
For more information, visit the Medlearn Matters Web
page at: http://www.cms.hhs.gov/MedlearnMattersArticles/.
Related Change Request (CR) #: N/A
Medlearn Matters Number: SE0451
Effective Date: N/A Revised
Implementation Date:
January 1, 2005
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