Claims
Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.
Method II critical access hospital: Professional billing requirements for emergency department services
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04, chapter 4, section 250.18.
Tips to prevent claim adjustment reason code (CARC) CO B9
Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.
CMS-1500 (02/12) paper claim form
Find information on where to obtain and how to complete the CMS-1500 claim form.
Avoiding hospice claim rejects
Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim…
DMEPOS HCPCS codes jurisdiction list
CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.
Common inquiries -- Part B
Reduce the time it takes to answer your Medicare question by viewing common Part B inquiries received by customer service.
Current processing issues for Part A and Part B
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.