Industry Notes:
Beware Problem Correcting Certain Institutional Category HH Claims
Published on Fri Sep 10, 2021
Watch out for a newly reported claims glitch that could be costing you your rightful reimbursement — at least for six months. The problem: “When a claim is initially processed with a [HIPPS] code indicating a community admission but Common Working File (CWF) finds an applicable inpatient claim, CWF rejects the claim with edit 727D. This edit identifies the claim [...]