Claims

You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits exhausted, since consolidated billing rules may or may not apply.

Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.

Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.

Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.

Read this article for tips on how to prevent RTP 153XX to 154XX.

This denial is received when services furnished or ordered by a chiropractor are not related to treatment by means of manual manipulation of the spine to correct a subluxation and/or the claim…

You received this denial for one of the following reasons: 1) the date of service (DOS) on the claim is prior to the provider’s Medicare effective date or after his/her termination date, 2) the…

Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.

Question and answer regarding the indication of an anti-markup diagnostic service on a claim.

Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or valid (as applicable). The following reason codes are frequently…