If your hospital has off-campus provider-based departments, you should ensure the following for accurate submission of claims:
- The hospital’s CMS-855 enrollment is up to date and all off-campus provider-based facility locations are listed in PECOS.
- The hospital billing system is set up to include service facility locations in loop 2310E of the 837 institutional claim transactions.
- The addresses generated on claims EXACTLY match what is listed in PECOS.
Failure to do so could result in payment denials for services rendered at off-campus, outpatient, provider-based facilities.