Latest updates: Claims

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Please review the revised blood product codes list.

Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim…

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

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

Read this article for tips on how to prevent reject reason code 34538.

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…

This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records indicate that Medicare is the secondary payer.

View this special edition update on processing of Medicare claims impacted during the government shutdown as well as the 2026 ESRD PPS final rule.