Claims
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.
Critical access hospital (CAH) method II professional reassignment deadline is January 1
Beginning January 2, 2026, CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II…
Indicating an anti-markup diagnostic service on a claim
Question and answer regarding the indication of an anti-markup diagnostic service on a claim.
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.
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.
Critical access hospital (CAH) method II professional reassignments
CMS has issued new instructions concerning the Fiscal Intermediary Shared System (FISS) reason codes 31006 and 31007 for Method II critical access hospital (CAH) claims involving professional…
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.
Submitting claims when the dollar amount exceeds $99,999.99
First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after…