Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an...
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Claims processing codes - Find definitions of reason and remark codes
There could be several reasons why your claim was denied or otherwise did not process successfully. Use these available...
Tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.
Nursing facility E/M services
Nursing facilities include skilled nursing facilities, psychiatric residential treatment centers, and immediate care facilities...
What to do when you can't locate your claim
Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help...
Tips to prevent reject reason code C7010
Read this article for tips on how to prevent reject reason code C7010.
Tips to prevent reject reason code U5233
Read this article for tips on how to prevent reject reason code U5233.
E/M: Reviewing amount and/or complexity of data
The AMA Levels of Medical Decision Making table indicates: Each unique test, order, or document contributes to the combination...
Tips to prevent claim adjustment reason code (CARC) PR 49
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.