Claims
Process for Supplying Invoice Amount on Certain HCPCS Codes - Avoid Rejected Claims
The drug codes list and the radiopharmaceutical codes list have been updated.
Current Processing Issues
Incorrect duplicate denials have occurred for chronic care management (CCM) and remote physiological management (RPM) services billed on the same date of service as an E/M visit. Incorrectly denied…
Encelto Cell Gene Therapy Drug
This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.
Encelto Cell Gene Therapy Drug
This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.
Tips to Prevent Reject Reason Code 34538
Read this article for tips on how to prevent reject reason code 34538.
Tips to prevent reject reason code 31997
Read this article for tips on how to prevent reject reason code 31997.
Tips to prevent RUC CO4
Review these tips for ways to resolve claims rejected as unprocessable for CO4.
Appropriate use of not otherwise classified (NOC) codes
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not…