Information pertaining to Part A hospitals -- Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOMs).
Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...
This article has resources available for verifying the status of your CERT review.
Nursing facilities include skilled nursing facilities, psychiatric residential treatment centers, and immediate care facilities...
Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help...
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
CMS has released an updated version of the CMS-855O application (09/23). Learn about the effective dates for the old and new...