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Hospice: New requirement for physicians who certify patient eligibility

February 16, 2026
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

February 16, 2026
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.

Returned or rejected as unprocessable claims affect timely filing

February 16, 2026
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

Tips to prevent claim adjustment reason code (CARC) CO/PR B7

February 18, 2026
View tips to prevent this reason code.

Ambulance trip / run sheet record documentation

February 18, 2026
Read this article to learn more about ambulance trip / run sheets documentation.

Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly

February 18, 2026
2024-2025 flu season codes priced incorrectly.

Tools & forms: Claims

February 27, 2026
Use these self-service tools and forms related to claims.

Tips to prevent claim adjustment reason code (CARC) PR 170

February 26, 2026
This denial is received when services furnished or ordered by a chiropractor are not related to treatment by means of manual manipulation of the spine to correct a subluxation and/or the claim submitted does not meet the requirements. Read…

Guidelines for billing acute inpatient noncovered days

March 3, 2026
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.

Avoid negative impacts to your claims -- review LCD L39073 and billing and coding article A58812 pharmacogenomics testing

March 6, 2026
Important information you must know if you bill for pharmacogenomics testing.
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