June 30, 2015

CMS Issues Update on Reopening Claims

The National Uniform Billing Committee will delay implementation of a new bill type for requests to reopen claims until January 1, 2016 due to the October 2015 ICD-10 implementation.

A reopening is a remedial action taken to change a final determination or decision that resulted in either an overpayment or an underpayment, even though the determination or decision was correct based on the evidence of record.

See MLN Matters SE1426 articles for further details.

Please contact Dominick Parris in the Department of Economics and Health Policy with your questions at djparris@acr.org.