Claims

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

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

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

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

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

Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.

Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.

Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.

Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on…

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.