Search results
Filter by type
Line of business
Category
Filter by date
50 of 55 results
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructions to add reassignments.
Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.
Step 1: Choose your billing method
There are two general billing methods: electronic or paper submission.
CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.
An update was made to a Part B issue reflecting pending claims are now finalized and payments started with the May 11 cycle.
Use the links on this page to learn how to avoid common denials and claims rejections.
Hospitals should report condition code G0 (zero) on Part A claims when multiple medical evaluation and management (E/M) visits occur on the same day in the same revenue center, but the visits were distinct and independent visits.
View this outline of key definitions, billing responsibilities, and claim submission requirements for referred laboratory services to ensure correct reporting, avoid duplicate billing, and maintain adherence to regulatory guidelines.
Review this article if your claim is returning for reason code 326x4.
See common definitions for claim submission types that may impact your billing.
Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.