Part B

The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims. If the claim was billed and paid correctly, the CERT review contractor…

View this information regarding ANSI code OA-18.

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…

This procedure or procedure/modifier combination is not compatible with another procedure or procedure /modifier combination provided on the same day according to the National Correct Coding…

CMS has new guidelines for teaching physicians effective January 1, 2022. These updates were implemented February 15, and addressed services in certain primary care centers along with selection of…

CMS has new guidelines for teaching physicians effective January 1, 2022. These updates were implemented February 15, and addressed services in certain primary care centers along with selection of…

This edition includes information on 2025 vaccine administration payment amounts, opioid treatment programs updates, preventing claim denials for infusion pumps, and more.

This edition includes information on 2025 vaccine administration payment amounts, opioid treatment programs updates, preventing claim denials for infusion pumps, and more.

This edition includes information on quarterly credit balance reports, preventing claim denials for immunosuppressive drugs, CHAMPVA policy on weight loss medications, and more.

This edition includes information on quarterly credit balance reports, preventing claim denials for immunosuppressive drugs, CHAMPVA policy on weight loss medications, and more.