Reminder: CMS Correct Coding Guidelines and Duplicate Revenue Codes
2/18/2025
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Posted by Provider Relations
Fidelis Care would like to remind providers of CMS correct coding guidelines to prevent billing errors and potential audits. Fidelis Care has found instances where claims for the same service were billed multiple times using the same revenue code. Per CMS guidelines, providers must ensure that each service charge has a distinct revenue code.
Reference Material
Centers for Medicare & Medicaid Services (Chapter 1/ Subsection 120.3 - Suspect Duplicates, Page 261 and 263) - Click Here
If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.