Celtic Consulting

Suspended September Claims

Posted Wednesday, October 7, 2015

Attached you will find CMS notice SE1408. This notice includes guidance on billing for residents who discharge from the facility on Oct 1 and have billable services in Sept. Per the guidance if the resident discharges on Oct 1 the entire bill should be billed using ICD10 codes NOT ICD9. Remember that you cannot bill both 9 and 10 codes on one bill. These claims have been put into suspense in the system with a notice that this is a temporary issue and the provider does not need to do anything. We are currently attempting to speak with someone regarding the extent of this suspended status.

CLICK HERE for CMS Notice