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Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific to ASCs. This article explores these modifiers.
Review this article if your claim is returning for reason code 326x4.
Read this article for tips on how to prevent RTP 12206.
Read this article for tips on how to prevent RTP 30949.
View this information regarding ANSI code OA-18.
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.
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
Read this article for tips on how to prevent reject reason code 76474.
Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase in cost, valuable time, and resources for you, as well as First Coast.
Read this article to learn more about submitting high dollar claims for single use vials.