Skip to main content

HHSC Publishes Minimizing Claim Rejection for Service Group 6 (IL 2021-12)

Last updated on

HHSC has published IL 2021-12, Minimizing Claim Rejection (PDF).

The letter informs ICF/IID providers that the Place of Service (POS) code submitted on all Long-Term Care (LTC) claims from community-based ICF/IID providers requires automated system checks to ensure that the POS is appropriate for the service(s) billed on the claim.

LTC Claims Management System is enhancing TexMedConnect in May 2021 to only allow the use of the POS code value 65: Intermediate Care Facility, Intermediate Care-Level 1.

The goal of this LTC CMS change is to enhance edits to ensure claims are paid quickly and efficiently without being rejected or denied.

Email questions to ICF/IID.