Combined Common Edit Module (CCEM) Edit DTP=573 Update


On July 1, 2017, the Encounter Data Front-End System instituted standard Common Edit Module (CEM) updates. Unfortunately in that process, edits that are normally turned off were inadvertently turned on and became active.  The error has been caught and is now fixed. If encounters that were submitted after July 1, 2017 received the following edits, please resubmit them at this time. We apologize for any inconvenience this may have caused.

837 Data Type 

Edit Number

Edit Description

Institutional

X223.389.2330B.DTP.030

Per Payer, If 2430 DTP with 573 is present, then 2330B DTP must not be present.

Professional

X222.325.2330B.DTP.030

Per Payer, If 2330B.NM1 is present and 2430.DTP with DTP01 = "573" is not present, 2330B.DTP may be present.

DME

X222.325.2330B.DTP.030

Per Payer, If 2330B.NM1 is present and 2430.DTP with DTP01 = "573" is not present, 2330B.DTP may be present.

In the event you have questions, please contact CSSC Operations at 1-877-534-2772 (option 2) or by email at csscoperations@palmettogba.com.

 


Last Updated: 08/24/2017