Watch for Edits on Ordering/Referring Providers in 2014
Published on Tue Dec 03, 2013
Ensure provider has current Medicare enrollment record and valid NPI. Effective Jan. 6, 2014, CMS will turn on the Phase 2 edits for claims with ordering/referring providers. If the provider does not pass the edits, your claim will be denied. Your practice may be handling referrals for radiological services. You may be concerned that your billing provider must not lose [...]