Blood product HCPCS codes no longer requiring a paper invoice (JN)
To reduce provider burden, certain contractor priced HCPCS codes no longer require a paper invoice.
When the invoice information...
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Clerical reopening requests
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
Comprehensive Error Rate Testing (CERT) checklists
These checklists are intended to provide healthcare providers with a reference for use when responding to CERT documentation...
Avoid delays when billing ventricular assist device (VAD) supplies
Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding how to...
Temporarily deactivating reason codes 31006 and 31007 for CAH method II claims
Read this article for important information for method II CAH facilities receiving reason codes 31006 and 31007.
Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers
The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by...
Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims...
Tips to prevent RTP 32400 to 32404
Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or...