First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for hyperbaric oxygen therapy (HBO) services. Read to learn more about Medicare coverage guidance so you can document and submit HBO services cor…
In response to numerous and continued requests from the ambulance community, the Part A/B Medicare Administrative Contractors (MACs) have put together a National Part A/B MAC Ambulance Supplier Coalition. Read this article for more informat…
CMS has issued new instructions concerning the Fiscal Intermediary Shared System (FISS) reason codes 31006 and 31007 for Method II critical access hospital (CAH) claims involving professional services.
Beginning January 2, 2026, CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructio…
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file.
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents the level of evaluation and management services (E/M) furnished during a patient’s visit.