Billing

Are you providing outpatient therapy services on institutional claims and receiving reason code 34963 indicating the attending physician is invalid? Read this article for assistance to resolve your…

Effective April 1, CMS implemented a new consistency edit to validate the attending physician NPI. Claims are returning with reason code 34963. Read on for more information.

Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of “always therapy” services, regardless of the type of provider or…

This information outlines the process for the 935 recoupment.

This information outlines the process for the 935 recoupment.

First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.

Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.

Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.

Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request claims on 837 institutional claims, and the use of occurrence code (OC)…

This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.