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View this special edition regarding 2026 Medicare participation and the 2026 home health prospective payment system final rule.

View this special edition regarding 2026 Medicare participation and the 2026 home health prospective payment system final rule.

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 U5233.

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.

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 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.

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.