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SE1305 Referring/Ordering Provider

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SE1305 Ordering/Referring Providers in Medicare

Note: This Special Edition MLN Matters replaces SE1011, SE1201, SE1208, and SE1221.

 

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)

 

The following link includes Phase 2 information for the Referring/Ordering Provider requirements. If you fall under this measure, please note what you need to do to avoid denials on your claims when ordering/referring.

 

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1305.pdf

 

published 03/2013