Claims
Fast facts: Skilled nursing facility (SNF) helpful hints
Read this article for helpful hints for SNF claim reviews by CERT.
Fast facts: Skilled nursing facility (SNF) helpful hints
Read this article for helpful hints for SNF claim reviews by CERT.
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
Reimbursement guidelines for radiopharmaceutical procedure codes -- Avoid rejected claims
We created this article to educate on billing certain contractor-priced codes, including radiopharmaceuticals. Code list was last update January 14.
Incorrect rejections for Medicare secondary payer (MSP) claims
An issue was identified regarding incorrect Medicare secondary payer (MSP) rejections related to billing and submission errors. Claims will be held until the fix is implemented. Once the fix is…
Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
Incorrect rejections for Medicare secondary payer (MSP) claims
An issue was identified regarding incorrect Medicare secondary payer (MSP) rejections related to billing and submission errors. Claims will be held until the fix is implemented. Once the fix is…
Claims adjusted in error due to an issue that affected some professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model
CMS is aware of an issue that occurred on July 26 that affected some 2021-2024 professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH)…
Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.