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Tips to prevent reject reason code U5233

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

Avoiding MSP claim rejects

Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.

Avoiding hospice claim rejects

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…

Develop and implement a compliance program

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

MLN Connects for November 26, 2025

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form expiration, and more.

MLN Connects for November 26, 2025

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form expiration, and more.

Tips to prevent claim adjustment reason code (CARC) CO 22

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.

Develop and implement a compliance program

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

Telehealth services

Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication between the practitioner and patient. Recent legislation authorized an…

Tips to prevent claim adjustment reason code (CARC) CO 97

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…