Articles

View this special edition regarding 2026 Medicare participation and the 2026 home health prospective payment system final rule.

Read this article for tips on how to prevent reject reason code C7010.

Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP...

Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has...

Read this article for tips on how to prevent reject reason code U5233.

Read this article for tips on how to prevent reject reason code 34538.

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form...

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance...

This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records...