Submitted on behalf of:
Care New England, Medicare Supervisor
The X12 implementation of the 5010A.1 format of an 835 file has created a tremendous issue and burden for our hospital regarding the Bill Summary pages – TS306-TS312 Monetary Amount. Much of the Provider Summary Information loops as in my issue of the 2000.TS3, was removed as "Usage change to Not Used".
So, it was changed from summarizing this information on the Bill Summary pages, by Net Reimbursement (TS309), Cost Outlier information, etc., to not providing this information at all – the fields are now blank.
This is a very important information and we monitor these fields daily, as well as, report this information to the highest levels of our organization. Please consider providing this again.