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This list explains acronyms commonly used by the PARD (provider audit and review department).
Read this article for tips on how to prevent RUC CO 109.
Read this article for tips on how to prevent claim adjustment reason code (CARC) 54MUE.
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
When billing for unlisted drug codes, include the name, strength, and dosage of the drug.
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who haven't previously gotten a completed hepati…
Read this article for tips on how to prevent RTP 34931.
Review this article to learn how you can change the address to which additional documentation requests (ADRs} are mailed.
Read the Part B second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.
Read this article for information about responding to CERT documentation requests.