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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.

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.

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form expiration, and more.

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form expiration, and more.

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.

View this information on the free software provided by CMS for viewing and printing electronic remittance advice (ERA).

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

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