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Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for transitional care management (TCM) services.
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.
Access all of our self-service tools here.
This edition includes information on preventing claim denials for walkers, a HCPCS public meeting, Medicare preventive services, and more.
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.