What you should do with claims returned as unprocessable
Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is...
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Clinicians: Are you ordering PAP devices and related accessories for your patients?
Medicare can make payment for positive airway pressure (PAP) devices and related accessories. Review this article for...
Part A claim reopenings beyond timely filing limit process changes
Learn how to request a reopening of your Part A claim that is past the 12-month timely filing provision.
Practitioners: Are you ordering knee orthoses for your patients?
Please review this article from the durable medical equipment (DME) MAC about ordering knee orthoses for your Medicare patients.
Practitioners: Are you ordering ankle-foot and knee-ankle-foot orthoses (AFO/KAFO) for your patients?
Please review this article from the durable medical equipment (DME) MAC about ordering ankle foot and knee ankle foot orthoses...
Clinicians: Are you ordering urological supplies for your patients?
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8)...
Responding to additional documentation requests (ADRs)
This article explains how to respond to ADRs.
COVID-19 roster billing for Part B providers
First Coast has created a new standard roster billing form for COVID-19 vaccinations and monoclonal antibody infusion. This...
Cardiac and pulmonary rehabilitation programs
Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR)...
Appeal reminder for medically unlikely edits (MUEs)
We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error...