Claims

To increase the number of claims that successfully process and enhance cash flow, we are providing you with the top reasons claims denied with tips and resources to help you avoid many of these…

Read this article for tips on how to prevent RTP code W7088 .

Read this article for tips on how to prevent reject reason code 76474.

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.

This procedure or procedure/modifier combination is not compatible with another procedure or procedure /modifier combination provided on the same day according to the National Correct Coding…

Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.

Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.

There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.

There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.

In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the Medicare ambulance benefit depends on the time at which the beneficiary…