Learning center: Events overview
Read general information, as well as information on webinars, handouts, and completion certificates.
Claims: Adjusting, reopening, cancelling, and resubmitting
View reasons and scenarios for adjusting, reopening, cancelling, and resubmitting claims.
Tips to prevent claim adjustment reason code (CARC) CO 97
There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance...
Reject reason codes
A status R claim is a claim that was rejected for reasons such as Medicare eligibility, billing issues like overlapping with...
Tips to prevent reject reason code U5233
Read this article for tips on how to prevent reject reason code U5233.
Tips to prevent RTP 32400 to 32404
Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or...
E/M: Reviewing amount and/or complexity of data
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA...
What type of documentation is acceptable for ambulance mileage?
There are several ways to capture, and document loaded ambulance mileage, including:
- Odometer reading
- Trip odometer readings
- Global Positioning System (GPS)
- Navigation computers
- Mapping programs (e.g., MapQuest)
These are all acceptable forms of documentation and must be kept in the patient’s record and made available to Medicare upon request.
MLN Connects for January 16, 2025
This edition includes information on extended telehealth flexibilities, Hympavzi covered under Part B, cervical health, and more...