Screen Changes in Direct Data Entry
Effective October 1, screen changes in Direct Data Entry (DDE) have been made to the DRG/Pricer Inquiry (37) MAP1781.
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Referring and reference laboratories
View this outline of key definitions, billing responsibilities, and claim submission requirements for referred laboratory...
Fix date of death errors in Medicare records
Sometimes Medicare records incorrectly show that a patient has died, or the records list the wrong date of death. When this...
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...
Tips to prevent reason code 326x4
Review this article if your claim is returning for reason code 326x4.
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.