Production Alert Details

Rural Health Claims Impacted by FS2540

Date Reported:
07/28/2023
Date Resolved:
07/31/2023
Status:
Open
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 at this time, however, please continue to check the Production Alerts section of our website and future Email Updates.

Proposed Resolution/Fix

Fix implemented 7/31/2023.