DMEPOS HCPCS codes jurisdiction list
CMS quarterly updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC...
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Process for Supplying Invoice Amount on Certain HCPCS Codes - Avoid Rejected Claims
The drug codes list and the radiopharmaceutical codes list have been updated.
Current Processing Issues
Incorrect duplicate denials have occurred for chronic care management (CCM) and remote physiological management (RPM) services...
Tips to Prevent Reject Reason Code 34538
Read this article for tips on how to prevent reject reason code 34538.
Appropriate use of not otherwise classified (NOC) codes
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC)...
Tips to prevent claim adjustment reason code (CARC) CO/PR B7
View tips to prevent this reason code.
Top claim errors
This article highlights the most common claim submission errors during the most recent quarterly period. View this article to...
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...
Appropriate use of not otherwise classified codes when billing drugs and biologicals
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC)...
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...