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Opioid treatment program (OTP)

March 17, 2026
Find the latest Medicare news identified specifically for opioid treatment programs as well as helpful information, education, and links to CMS resources pertaining to this specialty.

Potential assignment violations by clinical laboratories

March 17, 2026
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment violation. This article outlines Medicare regulations and potential penalties applicable to laboratories.

Submitting unsolicited paperwork (PWK) segments for electronic claims

March 17, 2026
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837 electronic claim. This article the steps to complete this process.

What you should do with claims returned as unprocessable

March 17, 2026
Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is filed with incomplete and/or invalid information. This article provides resources for you to diagnose unprocess…

Tips to prevent reason code 326x4

March 17, 2026
Review this article if your claim is returning for reason code 326x4.

Modifier 79 flowchart

March 17, 2026
Use this decision flowchart to assist in correctly applying the 79 modifier.

Part A interactive voice response (IVR) operating guide

March 17, 2026
The Part A IVR operating guide will help to increase your knowledge of the technology and services we offer to our providers.

Tips to prevent RTP 12206

March 17, 2026
Read this article for tips on how to prevent RTP 12206.

Tips to prevent RTP 30949

March 17, 2026
Read this article for tips on how to prevent RTP 30949.

Tips to prevent claim adjustment reason code OA18

March 17, 2026
View this information regarding ANSI code OA-18.
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