First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.
The Redetermination Notices feature has been renamed to General Inquiry and Redetermination Correspondence. This feature will now include General Inquiry response letters.
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007 to give providers time to submit all method II reassignments to their Part A CAHs promptly. Read further to learn…
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructions to add reassignments.