Claims
Using the KX modifier for dental services inextricably linked to covered medical services
Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.
Tips to prevent claim adjustment reason code (CARC) PR 170
This denial is received when services furnished or ordered by a chiropractor are not related to treatment by means of manual manipulation of the spine to correct a subluxation and/or the claim…
Tips to prevent claim adjustment reason code (CARC) CO/PR B7
You received this denial for one of the following reasons: 1) the date of service (DOS) on the claim is prior to the provider’s Medicare effective date or after his/her termination date, 2) the…
Requesting an early offset of a demanded debt
View details pertaining to early offset of a demanded debt.
Requesting an early offset of a demanded debt
View details pertaining to early offset of a demanded debt.
Tips to prevent claim adjustment reason code (CARC) PR 49
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
Indicating an anti-markup diagnostic service on a claim
Question and answer regarding the indication of an anti-markup diagnostic service on a claim.
Tips to prevent RTP 32400 to 32404
Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or valid (as applicable).
The following reason codes are frequently…
Tips to prevent reject reason code 34538
Read this article for tips on how to prevent reject reason code 34538.