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MIR-2007-1A, January 2007
Deleting Revenue Code Lines – Additional Information
This article was published in the Medicare Information Resource 2006-12. We have received the following additional information from the Centers for Medicare & Medicaid Services (CMS) relating to this process.
" This process also includes DDE entry, not just DDE claims correction.”
Original Article
Reminder: If a line is noncovered, and it is being changed to covered, whether it is for claims returned to the provider (RTP) or adjustments, the entire line must be deleted and re-entered. Failure to do this may result in incorrect coding on your remittance advice and lines being rejected in error. We are especially seeing this with therapy claims that originally rejected and now are being adjusted to add the “KX” modifier. Due to lines not being deleted and rekeyed upon re-entry, the therapy reject codes are still being applied to the lines.
To delete a line either:
Enter “D” on the revenue code line being deleted.
Press the “Home” key to bring the cursor to the “Claim Page” field.
Press “Enter” and the entire line is deleted and the lines are resorted.
or
Enter “D” on the revenue code line being deleted.
Press the “PF9” key without bringing the cursor to the “Claim Page” field and the line will be deleted and resorted.
Then:
Re-enter revenue line date (if applicable); press PF9 to submit the claim.
If a noncovered line has been deleted, the noncovered charges associated with the deleted line need to be removed from the Total Charges (001) line.
MAP1712 |
M E D IC AR E O N L I N E S Y S T E M |
CLAIM PAGE |
02 |
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SC |
UB-92 CLAIM UPDATE |
REV CD PAGE |
01 |
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HIC 111223333A |
TOB 131 |
S/LOC S |
B0100 PROVIDER 080001 |
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TOT COV |
CL REV HCPC MODIFS |
RATE |
UNIT UNIT TOT CHARGE NCOV CHARGE SERV DT |
1 D 270 |
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30.00 |
30.00 |
2 0320 73100 |
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00001 00001 43.00 |
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3 0450 99283 |
137.00 |
00001 00001 137.00 |
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4 0001 |
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210.00 |
30.00 |
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56900 51600 56999 |
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<== REASON CODES |
PRESS PF2-171A PF3-EXIT PF5-UP PF6-DOWN PF7 -PREV PF8-NEXT PF9-UPT PF11-RIGHT |
© All current procedural terminology (CPT) codes and descriptors copyrighted by the American Medical Association.
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