Part B
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.
Checklist: Musculoskeletal system and connective tissue or procedures
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (…
Checklist: Musculoskeletal system and connective tissue or procedures
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (…
Medicare & Veteran Affairs: Adjustments for duplicate claims
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…
Medicare & Veteran Affairs: Adjustments for duplicate claims
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time by at least 15 minutes on the date of service.
Tips to prevent claim adjustment reason code (CARC) CO 22
CARC 22 - This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records indicate that Medicare is the secondary payer.
Checklist: Inpatient rehabilitation facility (IRF)
This checklist is intended as reference to use when responding to additional documentation requests for IRF services.