Production Alert Details

Rural Health Claims Impacted by FS2540

Date Reported:
Date Resolved:
Provider Types Impacted:

Jurisdiction 6 and Jurisdiction K Part A Rural Health Centers

Reason Code(s):
Claim Coding Impact:
Rural Health claims - 71X TOB

Description of Issue

This utility will adjust Rural Health claims - 71X TOB

  • Reimbursed incorrectly with the implementation of FS2540 in the A20232CP release
  • Installed to production on 5/15/23

Note: changes for FS2540 were backed out with FS2540R1 on 6/13/23.

This utility is to correct claims paid between 5/15/23 and 6/13/23.

Report RPTCLHM1 will identify claims that have been adjusted. These will be set to SB0100 and process as 71J bill types.

National Government Services Action

Making mass adjustments for HS2540 on Monday, 7/31/2023.

Provider Action

No provider action is necessary.

Proposed Resolution/Fix

Fix implemented 7/31/2023.