How can I submit the no-charge PQRI Healthcare Common Procedure Coding System (HCPCS) codes when my carrier says that CMS does not allow them to accept claims with a total charge of $0?
Your carrier is correct that the CMS claims processing systems cannot accept an entire claim with a total charge of $0. The CMS claims processing system requires at least one non-zero-charge line item. The PQRI quality-data code must always be a line item within the same claim as the patient diagnosis and service or procedure to which the quality-data code applies. Claims submitted with only PQRI quality-data codes will not be counted in the analysis of reporting or performance rates.
Related Questions
- How can I submit the no-charge PQRI Healthcare Common Procedure Coding System (HCPCS) codes when my carrier says that CMS does not allow them to accept claims with a total charge of $0?
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