Tips to prevent reject reason code U5233
Read this article for tips on how to prevent reject reason code U5233.
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E/M: Reviewing amount and/or complexity of data
The AMA Levels of Medical Decision Making table indicates: Each unique test, order, or document contributes to the combination...
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.
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
New version of the CMS-855O released
CMS has released an updated version of the CMS-855O application (09/23). Learn about the effective dates for the old and new...
POS 19 added for preventive, CR, and ICR services
Change request (CR) 14070, effective June 23, 2025, reflects the addition of POS 19 allowed for preventive services, CR, and ICR...
Dental services coverage
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this...