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Billing tip for LTSS Providers

LTSS Providers, please see the following FAQ addressing a a common billing error which seems to be disproportionately affecting institutional claims for LTC providers. In the new MESA system, it is vital that complete information be submitted at both the header and detail level.


Q: Why are my claims denying for error/edit 528 DTL FDOS TDOS Billed In Error?

A: This error is posting in instances where billing staff fail to include both a “From” AND a “To” Date of Service on the claim detail level. Providers will need resubmit these claims with the appropriate From Date of Service and To Date of Service at the detail level.


– Published Oct. 4, 2022