Billing Beat

Discrepancies in 5010 835 and RA reporting, CR 23797

November 26, 2014

Previously an issue was identified where information reported on the Remittance Advice (RA) was not consistent with the electronic 835. The following issues have been updated in MIHMS:

  • The RA and 835 will now populate the revenue code in addition to populating the CPT/HCPC codes on outpatient hospital claims. Previously, the 835 was not populating the revenue code if there was a CPT/HCPC code populated.
  • The RA and electronic 835 will now populate a value unit of one. Previously MIHMS was not populating the units field when the unit value was one. This has been corrected. 

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