Claims

Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim…

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

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

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

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records indicate that Medicare is the secondary payer.

There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance advice remark code (RARC) noted on the remittance advice for your claim…

Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden. 

Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden.