Part B

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Providers billing for drug Octagam HCPCS code J1568

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.

Reporting place of service (POS) codes

The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.

Reporting place of service (POS) codes

The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.

Modifier 57 fact sheet

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.

Modifier 24 fact sheet

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 24.

New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B

For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.

Did you notify Medicare that your address changed? Don’t miss important notifications and ADRs

Review this article to learn how you can change the address to which additional documentation requests (ADRs} are mailed.

Did you notify Medicare that your address changed? Don’t miss important notifications and ADRs

Review this article to learn how you can change the address to which additional documentation requests (ADRs} are mailed.

Physician ordering laboratory tests: Your vital role in submitting documentation

Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.

Physician ordering laboratory tests: Your vital role in submitting documentation

Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.