Medicares Quarterly Updates - holding checks

The Centers for Medicare and Medicaid Services (CMS) requires and schedules standarda quarterly updates that each Medicare contractor must load into their claim processing system. These quarterly updates take place each January, April, July and October. The July 2008 update will take place the weekend of July 5th 2008. Medicare (CMS) will create a hold edit and place it in the system on July 1st 2008, to ensure that all claims submitted to Medicare on or after July 1, 2008, with 2008 dates of services, are held in the system until the July update has been completed.

Once Medicare confirms and validate that the system updates are processing correctly, they will start releasing the medical claims from the hold edit. Due to the volume of claims, it may take Medicare a few business days to release all claims from the hold edit.

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