Claims
High-cost cell-based gene therapy drug Encelto approved
This article outlines billing and claim submission requirements for providers administering Medicare-approved Encelto™, a cell-based gene therapy, in Ambulatory Surgical Centers (ASCs) and Hospital…
High-cost cell-based gene therapy drug Encelto approved
This article outlines billing and claim submission requirements for providers administering Medicare-approved Encelto™, a cell-based gene therapy, in Ambulatory Surgical Centers (ASCs) and Hospital…
Tips to prevent claim adjustment reason code (CARC) CO 236
Review this article for important tips to prevent CARC CO 236.
How anesthesia reimbursement is calculated
View this article when looking for information regarding anesthesia reimbursement.
DMEPOS HCPCS codes jurisdiction list
CMS quarterly updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.
CMS-1500 (02/12) data element requirements
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form and the electronic equivalent elements.
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.