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Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not available. Review this article for proper use…
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned to the provider have not been filed successfully.
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
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.
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.
Reduce the time it takes to answer your Medicare question by viewing common Part A inquiries received by customer service.
Read this article for tips on how to prevent reject reason code U5233.
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.
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).
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.