Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
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Claims adjusted in error due to an issue that affected some professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model
CMS is aware of an issue that occurred on July 26 that affected some 2021-2024 professional claims for the Accountable Care...
Quarterly credit balance reports no longer required
Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.
Ambulatory surgical center (ASC) pass-through devices
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article...
Steps to prevent reject reason code 36428
Steps to prevent rejection when submitting a claim for mammography screening services.
Medicare Beneficiary Identifier - get it, use it
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is...
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.