SHPBN-2017-029 Claims Update - Present on Admission Indicator

Date: 08/23/17

POA Indicator

Effective October 1, 2017, Sunflower will begin rejecting paper UB-04 claims if they are billed with a POA Indicator of 1. This change is to align paper claims with electronic claim processes.

Please leave this field blank when a code is exempt from POA reporting. (The current form code version is 5010.)

A letter will be mailed out if the claim is rejected and will state "POA indicator missing or invalid."

For more information regarding this change please view: https://www.cms.gov/medicare/medicare-fee-for-service-payment/hospitalacqcond/coding.html

 

If you have questions about this bulletin or other provider resources, please contact Customer Service at 1-877-644-4623.