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Attention Billers: Medicare Secondary Payer Problem With HETS

Posted on Monday, November 18, 2019 12:51 PM

CMS and Medicare Administration Contractors (MACs) are aware of the problem with HIPAA Eligibility Transaction System (HETS) Medicare Secondary Payer (MSP) data received from the Common Working File (CWF).   The MACs’ eligibility systems that receive MSP data from HETS may be affected by this issue. Due to the missing data in HETS, this issue may cause some claims to edit for MSP. CWF MSP information is not affected by this issue. This impacts both home health and hospice providers.

Provider Action:
CWF eligibility systems are up to date with MSP eligibility information and providers can continue to use them. No additional provider action required at this time.

Source: NAHC Report


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Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

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