Search results
Filter by type
Line of business
Category
Filter by date
40 of 83 results
Effective April 1, CMS implemented a new consistency edit to validate the attending physician NPI. Claims are returning with reason code 34963. Read on for more information.
Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to the instructions.
The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same for assigned and non-assigned claims. This article shows when these requirements apply.
Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary payer (MSP) claims.
Read this article for billing guidelines when Medicare is the tertiary payer.
Use this article as a quick reference for billing claims where Medicare is the secondary payer.
Read this article for more information on billing your claims when Medicare is the secondary payer.
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified process.
Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.