Claims

This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that experience claim rejections for overlapping dates of service.

Read this article to learn more about submitting high dollar claims for single use vials.

Read this article to learn more about submitting high dollar claims for single use vials.

You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits exhausted, since consolidated billing rules may or may not apply.

View reasons and scenarios for adjusting, reopening, cancelling, and resubmitting claims.

Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.

Read this article for tips on how to prevent RTP 153XX to 154XX.

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.

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.

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…