Resolve claim return reason code 34963 for outpatient therapy services
Are you providing outpatient therapy services on institutional claims and receiving reason code 34963 indicating the attending...
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Payment of codes for chemotherapy administration and nonchemotherapy injections and infusion
CMS provided clarification regarding the Medicare guidance relating to complex administration CPT codes 96401-96549. Please read...
Allowing electronic submission of medically denied cancel claims
To determine if a claim was medically reviewed, providers should submit the requests correctly.
Allowing electronic submission of medically denied cancel claims, reason code 30941
To determine if a claim was medically reviewed, providers should submit the requests correctly.
Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Avoid claim processing delays when billing tetanus vaccinations
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus...
Part A inpatient date of service reporting and split billing
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.
MSP and conditional payment request claim filing guidelines
Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request...
Appropriate drug billing for Prolia (denosumab) injections, J0897
View this important information you must know when billing for Prolia (denosumab) injections, J0897.
Part A outpatient date of service reporting and split billing
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.