Claims
Automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B
For Part B providers with multiple billing PTANs linked to a single NPI, learn about our automated process to match the most appropriate PTAN to your NPI.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The drug codes list and radiopharmaceutical codes lists have been updated.
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
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.
Crossover claims: Supplemental insurance and Medigap plans
Read this article for more information on claims being crossed over to supplemental insurance and Medigap plans.
Duplicate reject/return to provider (RTP) reason code
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
Avoid negative impacts to your claims: Review policies on genetic testing for cardiovascular disease
View this important information you must know if you bill for genetic testing for cardiovascular disease.
Appropriate use of not otherwise classified codes
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not…