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Modification of Payment Window Edits in the Common Working File (CWF) to Look at Line Item Dates of Service (LIDOS) on Outpatient Claims

Guidance for payment window edits in the CWF that will be modified to look at the LIDOS of the outpatient bill. CWF looks at the statement covers through date of the outpatient claim. This will allow hospitals to separate and receive reimbursement for the services prior to the payment window. This CR will also add some diagnostic revenue codes that were missing from the Internet Only Manual and modify the Cardiology revenue code related to this policy

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 01, 2008

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.