Claims
Steps to prevent reject reason code 36428
Steps to prevent rejection when submitting a claim for mammography screening services.
Tips to prevent RUC CO4
This CARC code is received when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the required modifier(s) are missing.
Duplicate reject/return to provider (RTP) reason code
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
How to avoid common Medicare outpatient therapy denials
Watch our video to learn about Medicare’s documentation and coding requirements for outpatient physical therapy services.
How to avoid common Medicare outpatient therapy denials
Watch our video to learn about Medicare’s documentation and coding requirements for outpatient physical therapy services.
Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an inpatient stay.