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Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7 and after with dates of service June 3 or later.
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
Read this article to learn more about ambulance trip / run sheets documentation.
2024-2025 flu season codes priced incorrectly.
Use these self-service tools and forms related to claims.
This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.
Learn how to avoid rejects of crossover claims by ensuring the addresses you have on file with Medicare and Medicaid match and are in the appropriate format.
Features key resources to help you understand claim submission guidelines and current processing issues and how they may impact you.
Read this article for tips on how to prevent reject reason code 34538.