MMP Edits Update Effective February 29, 2016 - Clarification
CMS is continuing enhancements to the Medicare-Medicaid Processing System. In order to ensure syntactically correct Medicaid encounters are received, CMS has determined a need to revise the list of re-activated Common Edit Module (CEM) edits effective February 29, 2016 to a total of eight (8) edits. The following CEM edits will be re-activated effective February 29, 2016:
Edit Reference |
Edit Description
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Comprehensive Resolution/Prevention |
Professional and DME: X222.091.2010AA.N301.070 X222.091.2010AA.N302.060 Institutional: X223.087.2010AA.N302.060 |
CSCC A7: Acknowledgement/Rejected for Invalid Information… |
A Post Office Box address cannot be used for the Billing Provider on Professional, DME or Institutional encounters.
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Professional and DME: X222.351.2400.SV101-7.020 Institutional: X223.424.2400.SV202-7.025
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CSCC A8: Acknowledgement/Rejected for relational field in error |
A more descriptive meaning of the procedure code must be present when using a not otherwise classified or generic HCPCS procedure code. |
Dental Only: X224.086.2010AA.N301.050 |
CSCC A7: Acknowledgement/Rejected for Invalid Information… |
A Post Office Box address cannot be used for the Billing Provider on Professional, DME or Institutional encounters. |
We apologize for any inconvenience this may cause and thank you for your patience as we improve our ability to respond to you better.