Articles

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form...

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance...

This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records...

Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication...

This special edition includes information on the 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical...

View this information on the free software provided by CMS for viewing and printing electronic remittance advice (ERA).

CMS is delaying the start date for the PA demonstration for certain services provided in ASCs and will be implementing the...

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

View this special edition update on processing of Medicare claims impacted during the government shutdown as well as the 2026...