Develop and implement a compliance program
A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.
Part B provider enrollment reconsideration requests
CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new...
Revalidation overview
Read this article for information on Medicare revalidation.
Sole owner revalidations
Read this article for information on an important change to the provider enrollment revalidation process for sole owner groups.
Avoid claim processing delays when billing tetanus vaccinations
Verify submission of diagnosis codes that support tetanus vaccinations are reasonable and necessary.
Part A Inpatient Date of Service Reporting and Split Billing
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...
Claims processing codes: Find definitions of reason and remark codes
There could be several reasons why your claim was denied or otherwise did not process successfully. Use these available...
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