Claims
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
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.
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 49
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
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…
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.