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Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.
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.
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
Read this article for information on mammography coverage and certification of mammography facilities.
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.
Read this article for tips on how to prevent claim adjustment reason code (CARC) 54MUE.
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.
An update was made to a Part B issue reflecting pending claims are now finalized and payments started with the May 11 cycle.
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.