Articles

Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of...

The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single...

These tables display processing issues that are being worked currently or have been resolved recently.

Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance...

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims...

Is your facility receiving denials for a claim overlapping a skilled nursing facility (SNF) stay? Claims overlapping with a...

To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.

This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.

Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007...

CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the...