Claims
Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an inpatient stay.
Tips to prevent reject reason code 31997
Read this article for tips on how to prevent reject reason code 31997.
Tips to prevent claim adjustment reason code (CARC) CO 50/PR 50
To increase the number of claims that successfully process and enhance cash flow, we are providing you with the top reasons claims denied with tips and resources to help you avoid many of these…
Tips to prevent reject reason code 76474
Read this article for tips on how to prevent reject reason code 76474.
Tips to prevent claim adjustment reason code (CARC) CO 236
This procedure or procedure/modifier combination is not compatible with another procedure or procedure /modifier combination provided on the same day according to the National Correct Coding…
Medicare Beneficiary Identifier - get it, use it
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.
Medicare Beneficiary Identifier - get it, use it
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.
Ambulatory surgical center (ASC) pass-through devices
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center…