Tips to prevent claim adjustment reason code (CARC) CO 50/PR 50
To increase the number of claims that successfully process and enhance cash flow, we are providing you with the top reasons...
Can multiple users from the same organization use one IDM account? If an employee leaves the organization, can another employee use the IDM account?
No, users are not permitted to share accounts. Each user much register for their own account.
Will I lose my SPOT access if I become inactive?
No, the SPOT user will need to do a password reset.
When is it acceptable to collect the deductible from the beneficiary?
When assignment is accepted, Medicare Part B recommends:
How is the Medicare Part B annual deductible applied to payment?
For each calendar year, a certain cash deductible exists that must be met before payment may be made by Medicare.
- The deductible for 2025 is $257.00.
Patient expenses are applied toward the deductible based on incurred, rather than paid expenses, and are based on Medicare allowed amounts. Non-covered expenses do not count toward the deductible.
Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims...
I just received confirmation of my account request, why can’t I login?
To use the SPOT, you must complete the full new user registration process through the IDM website. If you have your IDM account and attempt to log on to SPOT before your application access request has been approved (i.e., no request submitted, request in pending status, or request in denied status), a permission error message will be returned: