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The result of this is that if Medicare Fee For Service was ever assigned to the patient (past present or even future), the patient will qualify for the Hybrid IPP. These encounters will be excluded upon submission to CMS and will not count against the us correct? How will CMS handle Hybrid submissions when the patient has multiple encounters on the front end that are bundled and billed within one claim? Are they able to match up the 3 encounters in the QRDA file with the 1 claim on the back end?
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The result of this is that if Medicare Fee For Service was ever assigned to the patient (past present or even future), the patient will qualify for the Hybrid IPP. These encounters will be excluded upon submission to CMS and will not count against the us correct? How will CMS handle Hybrid submissions when the patient has multiple encounters on the front end that are bundled and billed within one claim? Are they able to match up the 3 encounters in the QRDA file with the 1 claim on the back end?
Logic/Intent/Data Elements
Moderate
Michael Cocchiola (Inactive)
Ana Lucas