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Hospital CMS internet-only manuals (IOMs)
Information pertaining to Part A hospitals -- Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOMs).
Modifier 52 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...
Fast facts: Checking the status of your CERT review
This article has resources available for verifying the status of your CERT review.
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.