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A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for the necessary corrections.
Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim rejects.
CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.
Find information on where to obtain and how to complete the CMS-1500 claim form.
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04, chapter 4, section 250.18.
View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.
Question and answer regarding the indication of an anti-markup diagnostic service on a claim.
Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help locate a claim not on file.
Reduce the time it takes to answer your Medicare question by viewing common Part B inquiries received by customer service.