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Tips to prevent claim adjustment reason code (CARC) CO 236
This procedure or procedure/modifier combination is not compatible with another procedure or procedure /modifier combination...
Tips to prevent claim adjustment reason code (CARC) CO 22
This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records...
Institutional billing resources (Addendums A, B, D1 and E*)
To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.
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...
Using the KX modifier for dental services inextricably linked to covered medical services
Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered...
Modifiers applicable to ambulatory surgical centers (ASCs)
Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific...
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...
Beneficiary-submitted claim filing instructions
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.