Submitting a provider enrollment appeal: Corrective action plan or reconsideration request
Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
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Tips on how to avoid billing a duplicate claim
Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase...
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X...
Avoiding hospice claim rejects
Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has...
Modifiers applicable to ambulatory surgical centers (ASCs)
Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific...
How to avoid common Medicare outpatient therapy denials
Watch our video to learn about Medicare’s documentation and coding requirements for outpatient physical therapy services.
Tips to prevent claim adjustment reason code (CARC) PR 96
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Ambulance trip / run sheet record documentation
Read this article to learn more about ambulance trip / run sheets documentation.
Guidance on hospital inpatient admission decisions
In this special edition article, CMS stresses the importance of staying informed of all CMS national inpatient hospital policy...