Claims

CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established. Step 1: Choose your billing method

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established. Step 1: Choose your billing method

In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the Medicare ambulance benefit depends on the time at which the beneficiary…

In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the Medicare ambulance benefit depends on the time at which the beneficiary…

Read this article for tips on how to prevent reject reason code C7010.

First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after…

Read this article for tips on how to prevent reject reason code U5233.

There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance advice remark code (RARC) noted on the remittance advice for your claim…

Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden.