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This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that experience claim rejections for overlapping dates of service.
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center (ASC).
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
Read this article for information on mammography coverage and certification of mammography facilities.
Reduce the time it takes to answer your Medicare question by viewing common Part A inquiries received by customer service.
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.
CARC 22 - This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records indicate that Medicare is the secondary payer.
To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.