Additional Editing for Disaster Related Claims
This Transmittal creates a process to edit claims submitted for disaster
related services, containing condition code "DR" and/or modifier "CR", in which payment for these services or
items is conditioned on the presence of a "formal waiver" and determines if the claims should pay or deny.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 12, 2010
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.