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...
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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...
Tips to prevent claim adjustment reason code (CARC) PR 170
This denial is received when services furnished or ordered by a chiropractor are not related to treatment by means of manual...
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...
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.