Provider One Nursing Facility Payments

Provider One Nursing Facility Payments

HCA has discovered an issue with the latest P1 update.  In the release, one of the edits 02167, is populating on nursing home claims in error causing them to suspend and go unpaid. This appears to be affecting all class codes. HCA knows that this will have an impact on Friday’s payments, but at this point they are unsure how many providers or claims will be involved.

The HCA team has fast tracked this issue with CNSI and hope to have it resolved in the live system effective 8/1. 

If you have any questions, please reach out to David Carter at dcarter@leadingagewa.org

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