Medicare Surgical Error Billing Policy Goes Into Effect

Starting Oct. 5, hospitals will be required to submit two claims to Medicare when a surgical error is reported along with a covered service, according to a news release from the American Hospital Association.

One claim will be required for covered services unrelated to the error as well as a separate no-payment claim with the error coded on it, according to the release.

The billing changes are effective for both inpatient and outpatient claims submitted on or after Oct. 5 for services performed after Jan. 15, 2009. Surgical errors not covered include procedures involving the wrong patient, procedure or body part.

Read the AHA’s release about the new Medicare surgical error billing policy.

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