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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Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Current processing issues for Part A and Part B
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Incorrect rejections for Medicare secondary payer (MSP) claims
An issue was identified regarding incorrect Medicare secondary payer (MSP) rejections related to billing and submission errors...
Top claim denials / rejects
Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases...
Fast facts: Skilled nursing facility (SNF) helpful hints
Read this article for helpful hints for SNF claim reviews by CERT.
Credit Balance Status tool instructions
View this document to learn more about the Credit Balance Status tool.
Quarterly credit balance reports no longer required
Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.
Requesting an early offset of a demanded debt
View details pertaining to early offset of a demanded debt.
SNF overlap
You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits...