Cost of Care Notice for Certain Direct Data Entry (DDE) Claims, TR29179

February 12, 2013

Cost of Care Notice for Certain Direct Data Entry (DDE) Claims, TR29179 Providers submitting DDE claims on the Health PAS portal with the Type of Bills (TOB) listed below must include an admit date. The system uses the admit date to determine whether or not Cost of Care should be applied to the claim. The admit date field is not currently required on the portal, but should be entered for accurate processing of your claims. The portal is being updated to require this field. We are working on a resolution to reprocess previous claims that have processed Cost of Care calculations incorrectly and will notify you at that time.

Affected TOB:

• 011X Hospital Inpatient Part A • 012X Hospital Inpatient Part B • 018X Hospital Swing Bed • 021X SNF Inpatient • 022X SNF Inpatient Part B • 028X SNF Swing Bed • 032X Home Health - Inpatient • 041X Religious Nonmedical Health Care Institutions • 065X Intermediate Care - Level I • 066X Intermediate Care - Level II • 081X Nonhospital based hospice • 082X Hospital based hospice • 086X Special Facility‐Residential Facility