POS 10 Billed on MA Claims - Washington State Local Health Insurance - CHPW

POS 10 Billed on MA Claims

Community Health Plan of Washington (CHPW) would like to let providers know that place of service (POS) 10 cannot be billed on Medicare Advantage claims until April 4, 2022. Although POS 10 became effective for Medicare Advantage claims on January 1, 2022, the Centers for Medicare & Medicaid Services (CMS) advised that its claim system is not capable of accepting claims with POS 10 until April 4, 2022.

This means that prior to that date:

  • The CMS is rejecting encounters received from Medicare Administrative Contractors (MAC) if billed with POS 10; and
  • CHPW will deny any Medicare Advantage claim billed with POS 10.

 

If you have any questions, please contact [email protected].

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