Claims
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
How anesthesia reimbursement is calculated
View this article when looking for information regarding anesthesia reimbursement.
Tips to prevent claim adjustment reason code (CARC) CO 97
Review this article for tips to prevent claims from denying with reason code CO 97.
Medicare eligibility and entitlement
Read this article for more information on Medicare eligibility and general information on the Medicare programs.
Crossover claims: Supplemental insurance and Medigap plans
Read this article for more information on claims being crossed over to supplemental insurance and Medigap plans.
Medicare eligibility and entitlement
Read this article for more information on Medicare eligibility and general information on the Medicare programs.
Referring and reference laboratories
View this outline of key definitions, billing responsibilities, and claim submission requirements for referred laboratory services to ensure correct reporting, avoid duplicate billing, and maintain…
Referring and reference laboratories
View this outline of key definitions, billing responsibilities, and claim submission requirements for referred laboratory services to ensure correct reporting, avoid duplicate billing, and maintain…
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.
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.