Skilled nursing facilities (SNF) revalidation due January 1
For those SNFs that have not yet submitted their Form CMS-855A revalidation application or, as applicable, SNF Attachment, this...
Articles
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Category
Duplicate reject/return to provider (RTP) reason code
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
Returned to provider (RTP)
A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for...
Voluntary terminations
Read this article for instructions on how to terminate your Medicare enrollment.
CMS-1500 (02/12) data element requirements
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form...
Drugs and biologicals Part A: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a single...
Drugs and biologicals Part B: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single...
Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.
SNF overlap
You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits...
PECOS resources
Learn more about PECOS and the enrollment process by accessing the following CMS resources and other helpful links.