Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.11

Payment, Claim Adjustments and Cancellations

Last amended: 2025Year: 2025Length: 84 wordsOfficial source
10.1.11 - Payment, Claim Adjustments and Cancellations (Rev. 13089; Issued: 02-21-25; Effective: 05-22-25; Implementation: 05-22-25) HHAs may cancel or adjust claims. Type of bill 0328 is used to cancel an HH PPS claim. A cancellation is needed to change the beneficiary identifier or the HHA’s provider number, if originally submitted incorrectly. Type of bill 0327 is used to adjust an HH PPS claim. Adjustments are used to correct information that may change payment. For additional information regarding HH adjustments, see Chapter 1, section 130.5.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 10 § 10.1.11: Payment, Claim Adjustments and Cancellations | Justis AI