Transmittal 114, specifically , outlines critical procedures regarding Ongoing Responsibility for Medicals (ORM) for liability, no-fault, and workers' compensation insurance.
Used for a "discharge TOB" where the status must reflect that a member has been officially discharged.
This update details how Medicare handles secondary payer situations when another insurance (like workers' comp) is responsible for medical costs.
Official MLN Templates are available for documenting medical necessity, though CMS warns that simple "checkbox" templates may lead to claim denials if they lack sufficient clinical detail. Billing Codes Related to "114"
In clinical coding, "114" often refers to a specific :
Official guidance for this update is found under CR #8984 and the MM8984 Provider Education release. Recommended Official Software & Resources
Instead of downloading unverified archive files, providers can access free, secure tools directly from the :
