No Reimbursement Claims - Reason Codes 39910 and 37187
Commonly received reason codes when the Medicare deductible amount matches the full payment amount on the claim.
Articles
Article Type
Category
Office and Other Outpatient E/M Services
Office and other outpatient evaluation and management (E/M) services describe encounters in which a physician or qualified...
Private Room Billing
This article provides guidance on billing medically necessary and non-medically necessary inpatient private room accommodations.
DMEPOS HCPCS codes jurisdiction list
CMS quarterly updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC...
Telehealth Services
We have added information on physician billing for acute hospital care at home reporting place of service 21 paired with...
Mandatory Hospice Election Statement Addendum
The hospice election statement addendum is now mandatory for all hospice elections beginning on and after October 1, 2026.
Understanding Patient Types for E/M Billing
Correctly identifying patient types and services supports evaluation and management (E/M) code selection and Medicare billing...
Teaching Physicians
This is a central location to locate guidelines for a supervising physician in a teaching setting, including links to related...
Process for Supplying Invoice Amount on Certain HCPCS Codes - Avoid Rejected Claims
The drug codes list and the radiopharmaceutical codes list have been updated.
Encelto Cell Gene Therapy Drug
This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an...