User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Create an Audit Record for Manual Denials on Claim Edit Audit Trail (BUDS05
The purpose of this Change Request (CR) is to update BUDS05 to create an audit record when operators manually enter an Action Code on a claim line. This update will help in identifying when a claim was manually denied versus denied due to a SuperOp, EAR, VMAP table or other. It will assist the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) by reducing time spent on researching inquiries.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 23, 2023
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