Submitting Paper Claims
The Administrative Simplification Compliance Act (ASCA) requires that as of October 16, 2003, all initial Medicare claims be submitted electronically, except in limited situations. Medicare is prohibited from payment of claims submitted on a paper claim form that do not meet the limited exception criteria.
CMS has provided a listing of exceptions to electronic claim submission on its Administrative Simplification Compliance Act Self-Assessment Web page. Some of these include:
In addition, CGS has identified the following situations where it may be necessary for home health and hospice providers to submit paper claims:
Prior to submitting any paper claims to CGS, home health and hospice agencies should conduct a self-assessment to determine if they meet one of the exceptions for electronic claim submission by accessing the CMS Administrative Simplification Compliance Act Self-Assessment Web page.
When appropriate, paper claims should be mailed to:
J15 — HHH Claims
Please see the following resources that are available on this topic:
|Two Vantage Way, Nashville, TN 37228||©2017 CGS Administrators, LLC. All Rights Reserved|