Claims

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…

Read this article for tips on how to prevent RTP 34931.

Steps to prevent rejection when submitting a claim for mammography screening services.

This CARC code is received when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the required modifier(s) are missing.

Read this article for tips on how to prevent RUC CO 24.

Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.

Read this article for tips on how to prevent RUC CO 109.

Read this article for tips on how to prevent RUC CO 16.

Watch our video to learn about Medicare’s documentation and coding requirements for outpatient physical therapy services.