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Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.

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 34538.

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

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…

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication between the practitioner and patient. Recent legislation authorized an…

Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication between the practitioner and patient. Recent legislation authorized an…