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Back  RFI # 277: Zero reported in CAS Monetary

Formal vs. Informal Help Informal Formal

Submitter

Janice Cunningham

Description

ACS is reporting zero as the monetary amount in CAS03, CAS06, CAS09, CAS12, etc.
Per Note 2 of the CAS requirements, adjustments non-zero adjustments are to be reported in the CAS segment.
Please please confirm that zeros in these data elements does not meet the compliance standards.

Submitter Assigned Keywords

Zero reported as CAS monetary

Response

This issue is explicitly addressed in guide 004010x091. Sections 2.2.1 (Balancing) and 2.2.4 (Claim Adjustment and service Adjustment Segment Theory), and the Claim Adjustment and Service Adjustment segments notes clearly identify the intended use of the CAS dollar amounts only when changing the amount being paid. This includes wording like "non-zero adjustment" and "A negative amount increases the payment, and a positive amount decreases the payment". Therefore, use of a CAS segment with a zero dollar amounts in any populated adjustment trio is inconsistent with this guide.
Submission 7/6/2005
Status Date 7/19/2005
Status F - Final
Primary References
Document 004010X091A1
Section2100 CAS
Page95
Set IDCAS
Loop2100
Segment IDCAS
Element Position03