Requesting an early offset of a demanded debt
View details pertaining to early offset of a demanded debt.
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Incarcerated beneficiary
View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.
Method II critical access hospital: Professional billing requirements for emergency department services
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04...
Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar...
CMS-1500 (02/12) paper claim form
Find information on where to obtain and how to complete the CMS-1500 claim form.
Returned to provider (RTP)
A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for...
Fast facts: Skilled nursing facility (SNF) helpful hints
Read this article for helpful hints for SNF claim reviews by CERT.
Tips to prevent RTP 32400 to 32404
Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or...
Tips to prevent reject reason code 31997
Read this article for tips on how to prevent reject reason code 31997.