Limitation on recoupment (935) process
This information outlines the process for the 935 recoupment.
Prolonged physician services: Office and other outpatient visits
Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at...
PC-Print
Information on the free software provided by CMS for viewing and printing electronic remittance advice (ERA).
Compliance matters: Third-party vendors, outsourced agencies, and you
Third-party vendors have an obligation to maintain Medicare compliance. See this article for detailed requirements.
Modifier 24 fact sheet
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit...
Modifier 57 fact sheet
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit...
Reporting place of service (POS) codes
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
Providers billing for drug Octagam HCPCS code J1568
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of...
New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part A
For Part A providers with multiple facility PTANs linked to a single NPI, learn about our new automated process to match the...