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aloralsurgery
Canine II

Medicare and Additional Documentation

I have to submit additional medical documentation to Medicare for one of our patients, and they have a lot more hoops to jump through than I realized. The claim itself must have all "PWK elements" completed as required by CMS. Apparently it lets them know automatically that supporting documentation will be submitted after the claim is received. They are as follows: 

-PWK01 (Attachment Report Type Code)- identifies the type of attachment
-PWK02 (Attachment Transmission Code)- indicates how the attachment will be sent
-PWK05 (Identification Code Qualifier)- apparently should always be "AC" in our case
-PWK06 (Attachment Control Number)- value assigned by the provider/software vendor to uniquely identify the attachment

I chatted with a representative at our MAC who said I could also put information in box 19,  but I do not see a way to do that either. I have spent incredibly too much time trying to figure this out. What am I supposed to do? How can I make sure the PWK information gets added to the claim?

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