Part B

This CARC code is received when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the required modifier(s) are missing.

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

Physician or allowed practitioner services involving certification and recertification of Medicare-covered home health services may be separately coded and reimbursed.

Physician or allowed practitioner services involving certification and recertification of Medicare-covered home health services may be separately coded and reimbursed.

View this agenda for the March 5 open meeting.

Use these self-service tools and forms to appeal claim decisions.

Use these self-service tools and forms related to billing and coding.

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Use these self-service tools and forms to appeal claim decisions.