Inpatient psychiatric hospital benefit days
Medicare provides a lifetime limit of 190 days of inpatient psychiatric hospital care for each beneficiary. Once all 190 days...
Articles
Article Type
Category
Top claim errors
This article highlights the most common claim submission errors during the most recent quarterly period. View this article to...
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...
DMEPOS HCPCS codes jurisdiction list
CMS quarterly updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC...
Resolving claims overlapping a skilled nursing facility (SNF) stay
Is your facility receiving denials for a claim overlapping a skilled nursing facility (SNF) stay? Claims overlapping with a...
Tips to prevent reject reason code C7010
Read this article for tips on how to prevent reject reason code C7010.
Tips to prevent claim adjustment reason code (CARC) PR 49
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
Tips to prevent claim adjustment reason code (CARC) CO/PR B7
View tips to prevent this reason code.
Tips to Prevent Reject Reason Code 34538
Read this article for tips on how to prevent reject reason code 34538.
Steps to prevent reject reason code 36428
Steps to prevent rejection when submitting a claim for mammography screening services.