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Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or later.
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
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.
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Read this article for tips on how to prevent reject reason code U5233.
Read this article for tips on how to prevent claim adjustment reason code (CARC) 54MUE.
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.
To increase the number of claims that successfully process and enhance cash flow, we are providing you with the top reasons claims denied with tips and resources to help you avoid many of these errors.