Ordering/Referring Provider Mandate Rev. 110613
MLN Matters® Number: SE1305 Revised |
Related Change Request (CR) #: 6421, 6417, 6696, 6856 |
Related CR Release Date: N/A |
Effective Date: N/A |
Related CR Transmittal #: R642OTN, R643OTN, R328PI, and R781OTN |
Implementation Date: N/A |
Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims (Change Requests 6417, 6421, 6696, and 6856)
Note: This article was revised on November 6, 2013, to provide updated information regarding the effective date of the edits (January 6, 2014). Additional clarifying information regarding the Advance Beneficiary Notice, CARC codes and DME rental equipment has also been updated. Please review the article carefully for these changes. All other information remains the same.
Click here to see the Provider Types Affected, Provider Action Needed, What Providers Need to Know, the Background, Questions and Answers Relating to the Edits, Effects of Edits on Providers, Additional Guidance, and Additional Information.