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Get Pub 100 04 Medicare Claims Processing 2024

Equest 4261 SUBJECT: Shared Systems Medicare Secondary Payer (MSP) Balancing Edit and Administrative Simplification Compliance Act (ASCA) Enforcement Update I. SUMMARY OF CHANGES: Shared systems must reject inbound Medicare Secondary Payer claims if the total of the paid amounts and the adjusted amounts does not equal the billed amounts at the line level, the claim level, and if the claim lacks standard claim adjustment reason codes to identify the adjustments performed. As part of ASCA enforcem.

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