Claims

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Tools & forms: Claims

Use these self-service tools and forms related to claims.

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.

Tools & forms: Claims

Use these self-service tools and forms related to claims.

New provider roadmap

View this new provider roadmap for guidance through the Medicare process.

New provider roadmap

View this new provider roadmap for guidance through the Medicare process.

Credit Balance Status tool instructions

View this document to learn more about the Credit Balance Status tool.

Guidance on hospital inpatient admission decisions

In this special edition article, CMS stresses the importance of staying informed of all CMS national inpatient hospital policy and national and local coverage determinations regarding making a…

Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file

Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on…

Top claim denials / rejects

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. 

Top claim denials / rejects

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.