NGS has issued an alert regarding Qualified Medicare Beneficiary Program and recent changes to Medicare remittances to implement CMS Change Request 9911 for Qualified Medicare Beneficiaries. The group code indicator for CARC 209 is OA (other adjustment). There will be a dollar amount next to the OA209, and this dollar amount will represent the deductible and/or coinsurance amounts that are unable to be paid by Medicare and unable to be billed to the Medicare beneficiary.
For additional information see:
Important Information for Medicare Providers Regarding the Qualified Medicare Beneficiary Program