If unsure whether your software is able to automatically generate 276 queries or to automatically post 277 responses, you should contact your software vendor or billing service. Novitas Solutions employees, agents, and staff make no representation, warranty, or guarantee that this compilation of Medicare information is error-free and will bear no responsibility or liability for the results or consequences of the use of this guide. Some providers can enter claim status queries via direct data entry screens. Providers can submit claim status inquiries via the Medicare Administrative Contractors’ provider Internet-based portals.
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Per National Correct Coding Initiative (NCCI) manual if the epidural is inserted for post-op pain management separately on the same date of service as the anesthesia.
In addition, the 277 response is designed to enable automatic posting of the status information to patient accounts, again eliminating the need for manual data entry by provider staff members. Providers can enter data via the Interactive Voice Response (IVR) telephone systems operated by the MACs. When epidural injections (62321, 62323, 64479, 64489, 64483 or 64484) are used for postoperative pain management, the diagnosis code restriction in this article do not apply. Submission of 276 queries and issuance of 276 responses should be less expensive for both providers and for Medicare. Noridian Healthcare Solutions along with CGS Administrators, First Coast, National Government Services, Novitas Solutions, Palmetto GBA, and WPS Government Health administrators will host a multi-jurisdictional contractor advisory committee (CAC) meeting via teleconference May 12 from 1:30-4. The electronic 276/277 process is recommended since many providers are able to automatically generate and submit 276 queries as needed, eliminating the need for manual entry of individual queries or calls to a contractor to obtain this information. Multi-jurisdictional CAC meeting to be held May 12.
Some providers can enter claim status queries via direct data entry screens.Providers can submit claim status inquiries via the Medicare Administrative Contractors’ provider Internet-based portals.Providers can enter data via the Interactive Voice Response (IVR) telephone systems operated by the MACs.Providers have a number of options to obtain claim status information from Medicare Administrative Contractors (MACs):