Following an implementation delay during the COVID-19 public health emergency (PHE), on August 1, 2023, the Centers for Medicare and Medicaid Services (CMS) initiated Medicare hospital claims edits that will return certain claims when the address where a service was provided does not exactly match an address in the hospital’s Medicare Provider Enrollment, Chain, and Ownership System (PECOS) enrollment file or where the reported address requires a “PO” or “PN” modifier and neither modifier is...
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