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Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
Returned or rejected as unprocessable claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims...
Tips to prevent claim adjustment reason code (CARC) CO B9
Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X...
Duplicate reject/return to provider (RTP) reason code
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
Ambulance modifiers
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance...
Hospice: New requirement for physicians who certify patient eligibility
Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims...
Tips to prevent claim adjustment reason code (CARC) PR 96
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Ambulance transport – Deceased beneficiary
In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the...