Claims
Top claim errors
This article highlights the most common claim submission errors during the most recent quarterly period. View this article to access tips and resources to identify and avoid the most common denials…
Current processing issues
An update was made to a Part B issue reflecting pending claims are now finalized and payments started with the May 11 cycle.
Current processing issues
An update was made to a Part B issue reflecting pending claims are now finalized and payments started with the May 11 cycle.
Outpatient Prospective Payment System (OPPS) addendums updates A, B, D1, and E
Review to find quarterly updates related to OPPS and I/OCE and review accessing the addendums* listed below.
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 automated process to match the most appropriate PTAN to your NPI.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The drug codes list and radiopharmaceutical codes lists have been updated.