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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 and then refer to the specific resources a…
Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim rejects.
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04, chapter 4, section 250.18.
View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.
Important information you must know if you bill for pharmacogenomics testing.
Read this article for tips on how to prevent reject reason code 34538.
Steps to prevent rejection when submitting a claim for mammography screening services.
An updated remittance advice remark code (RARC) and claim adjustment reason code (CARC) “Codes.ini” file is now available for download.