Qualifying stay edit C7123 - Novitas Solutions When the 3-day qualifying stay criteria is not met or is not reported appropriately, you will receive edit C7123 A Medicare beneficiary must have a covered 3-day qualifying stay in an eligible hospital to qualify for coverage
CMS Manual System I SUMMARY OF CHANGES: This instruction updates the CWF qualifying stay edit to include condition code 57 (SNF readmission) in the list of bypasses for edit C7123
Qualifying stay edit C7123 | FCSO Medicare When the three-day qualifying stay criteria is not met or is not reported appropriately, you will receive edit C7123 A Medicare beneficiary must have a covered three-day qualifying stay in an eligible hospital to qualify for coverage