Do not report more than one unit per date of service for E/M codes
Avoid claim rejects. If you bill E/M codes within the CPT code range 99202-99239, do not report more than one unit per date of...
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Allowing electronic submission of medically denied cancel claims
To determine if a claim was medically reviewed, providers should submit the requests correctly.
Allowing electronic submission of medically denied cancel claims, reason code 30941
To determine if a claim was medically reviewed, providers should submit the requests correctly.
PC-Print
Information on the free software provided by CMS for viewing and printing electronic remittance advice (ERA).
Compliance matters: Third-party vendors, outsourced agencies, and you
Third-party vendors have an obligation to maintain Medicare compliance. See this article for detailed requirements.
Modifier 24 fact sheet
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit...
New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part A
For Part A providers with multiple facility PTANs linked to a single NPI, learn about our new automated process to match the...
New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B
For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most...
Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Did you notify Medicare that your address changed? Don’t miss important notifications and ADRs
Review this article to learn how you can change the address to which additional documentation requests (ADRs} are mailed.