Health Information Management

Tip: CMS contractors holding Pap smear claims using Q0091 until January

APCs Insider, September 12, 2008

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

On September 4, CMS stated that it is instructing contractors to hold all claims containing HCPCS code Q0091, effective immediately. (Code Q0091 is Screening Papanicolaou [Pap] smear, obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.) 

The delay is due to computer problems affecting claims containing the code, according to the advisory. Contractors will hold the claims until the implementation of the first quarter 2009 Outpatient Code Editor (OCE), scheduled for January 5, 2009.

According to the advisory, OPPS facilities may decide to hold claims with Q0091 until after the January OCE implementation, to avoid reimbursement delays for other services on the claim. CMS will pay interest on clean claims held longer than 30 days after the date of receipt.

Note: Listeners to the next Hospital & Hospital Quality Open Door Forum on October 9 can ask questions about this and other CMS policy. Click here for information.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Comments

0 comments on “Tip: CMS contractors holding Pap smear claims using Q0091 until January

 

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular