Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 110.3

CWF Override Codes

Last amended: 2009Year: 2009Length: 101 wordsOfficial source
110.3 - CWF Override Codes (Rev. 1757, Issued: 06-19-09, Effective: 07-20-09, Implementation: 07-20-09) A CWF override code has been developed for A/B MAC (B) or DME MAC use where, in the course of pursuing a reconsideration, a provider or supplier may bring to the attention of the A/B MAC (B) a situation where services on a claim have been denied, but should actually be allowed to be paid through the A/B MAC (B)/DME MAC. At the A/B MAC (B)/DME MAC’s discretion, to allow that claim to process through CWF to payment, enter a “2” in the SNF consolidated billing override field.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 110.3: CWF Override Codes | Justis AI