Part B Issue for Coinsurance Payments on Drug Code Claims
Date Reported:
11/12/2021
Date Resolved:
04/11/2022
Status:
Closed
Provider Types Impacted:
Jurisdiction 6 and Jurisdiction K Part B Providers
Reason Code(s):
N/A
Claim Coding Impact:
CPT codes for drugs
Description of Issue
Due to an issue with a recent system update, 20% coinsurance for drug codes has been incorrectly calculated during the period of 10/27/2021-11/1/2021.
National Government Services Action
National Government Services performed a mass adjustment on all impacted claims.
Provider Action
No provider action needed.
Proposed Resolution/Fix
Adjustments completed on 4/11/2022.