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There could be several reasons why your claim was denied or otherwise did not process successfully. Use these available resources to identify claims processing codes.
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This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon specific situational criteria. The informat…
To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.
Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned to the provider have not been filed successfully.
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing requirements for these new services.
This gives you a brief overview of the outpatient prospective payment system reimbursement.
This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.