Current processing issues for Part A and Part B
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Articles
Article Type
Category
Tips to prevent claim adjustment reason code (CARC) CO 22
CARC 22 - This care may be covered by another payer per coordination of benefits. This denial was received because Medicare...
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 reject reason code C7010
Read this article for tips on how to prevent reject reason code C7010.
Avoid negative impacts to your claims -- review LCD L39073 and billing and coding article A58812 pharmacogenomics testing
Important information you must know if you bill for pharmacogenomics testing.
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.
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...
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...