Steps to prevent reject reason code 36428
Steps to prevent rejection when submitting a claim for mammography screening services.
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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...
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...
Avoiding hospice claim rejects
Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has...
Tips to prevent claim adjustment reason code (CARC) CO 97
There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance...