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Shared Systems Medicare Secondary Payer (MSP) Balancing Edit and Administrative Simplification Compliance Act (ASCA) Enforcement Update

Shared systems must reject inbound Medicare
Secondary Payer claims if the total of the paid amounts and the adjusted amounts does
not equal the billed amounts at the line level, the claim level, and if the claim lacks
standard claim adjustment reason codes to identify the adjustments performed. As part of
ASCA enforcement, contractors must be able to terminate a provider's paper claim denial
indicator if the provider submits documentation at any time to establish that they meet
criteria for submission of paper claims.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 02, 2006

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.