Claims

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.

Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.

Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.

Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help locate a claim not on file.

Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help locate a claim not on file.

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.

Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.