Current processing issues
These tables display processing issues that are being worked currently or have been resolved recently.
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Update history: LCD and article updates
View the most recent updates for our LCDs and articles. An LCD has been posted for notice to become effective May 17.
Tips to prevent reject reason code U5233
Read this article for tips on how to prevent reject reason code U5233.
Tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.
Resolution tips for overlapping claims
This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that...
Common inquiries - Part A
Reduce the time it takes to answer your Medicare question by viewing common Part A inquiries received by customer service.
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
Tips to prevent claim adjustment reason code (CARC) PR 96
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Appropriate use of not otherwise classified codes
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC)...
Returned to provider claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims...