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As part of industry standards for claims processing, Independence enforces
present on admission (POA) indicator billing requirements and claims processing
policies for acute-care hospitals on our new operating platform. Claims
processed on the new platform with dates of service on or after November 1,
2013, without a valid POA indicator (as applicable) will be rejected. All
hospitals are required to follow instructions from the Centers for Medicare &
Medicaid Services regarding identification of the POA for all diagnosis codes
for inpatient claims submitted on the UB-04 and ASC X12N 837 Institutional
(837I) forms.
However, it is important to note that number "1" is no longer valid
on electronic claim submissions under the version 5010 format. The POA field
should instead be left blank for codes exempt from POA reporting.
If you have any questions about the POA indicator, please contact your
Network Coordinator.
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