CMS to Implement Ordering and Referring Denial Edits Beginning in January 2014

Nov 20, 2013 - Jan 20, 2014


Doctors who refer or order services for Medicare beneficiaries must be enrolled with Medicare by January 6, 2014. Medicare contractors have been instructed to turn on ordering/referring physician edits on that date, and claims submitted on or after January 6 will be denied if the ordering/referring physician does not have an enrollment record.

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