Claims

Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.

Read this article for tips on how to prevent claim adjustment reason code (CARC) 54MUE.

A new issue was added for Part B relating to claims pending in an approved to pay location for an extended period of time.

Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.

The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers…

Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.

Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or…

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or…

Is your facility receiving denials for a claim overlapping a skilled nursing facility (SNF) stay? Claims overlapping with a skilled nursing facility (SNF) stay can occur for several reasons. This…