How to avoid rejects of Medicare and Medicaid crossover claims
Learn how to avoid rejects of crossover claims by ensuring the addresses you have on file with Medicare and Medicaid match and...
Articles
Article Type
Category
Physician and allowed practitioner certification and recertification of home health services
Physician or allowed practitioner services involving certification and recertification of Medicare-covered home health services...
Special Edition: MLN Connects for November 21, 2025
View this special edition update on processing of Medicare claims impacted during the government shutdown as well as the 2026...
New enrollment
Use the links on the left to view the steps to become a Medicare provider. This section offers links to guide providers through...
Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to essential medicines
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to...
Annual wellness visits (AWVs)
Medicare Part B covers annual wellness visits (AWVs) and other related services for qualifying beneficiaries. Learn more about...
Counting units for therapy codes
Read this article to learn how to count units to properly bill therapy HCPCS codes.
RTP reason code 34963 FAQ
Read this article to learn how to resolve claim rejects for reason code 34963.
New Part A Medicare redetermination and clerical error reopening request form available now
Make sure to access our new and improved form which simplifies the submission of your Part A redeterminations.
EDI: CMS-1450 paper claim to electronic claim crosswalk (5010)
The following article provides the requirements of the form locators within the CMS-1450 (UB-04) paper claim form and their...