by Medical Billing | Jun 20, 2014 | Medicare payment basics
BACKGROUND Medicare will generally not pay for medical items and services furnished to a beneficiary who was incarcerated or in custody under a penal statute or rule at the time items and services were furnished. For additional information about this policy, please...
by Medical Billing | Mar 13, 2014 | Medicare payment basics
New Claim Adjustment Reason Code (CARC) to Identify a Reduction in Payment Due to Sequestration This article is based on CR 8378 which informs Medicare contractors about a new Claim Adjustment Reason Code (CARC) reported when payments are reduced due to...
by Medical Billing | Mar 5, 2014 | Medicare payment basics
Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for Place of Service Billed by Physician Office and either Ambulatory Surgical Center or Inpatient Hospital The Medicare physician fee schedule includes two payment amounts depending on...
by Medical Billing | Feb 21, 2014 | Medicare payment basics
An accident date is required for Federal program when an accident related diagnosis is present. What this means: Some claims to this payer may reject for ‘An accident date is required for Federal program when an accident related diagnosis is present.’...
by Medical Billing | Feb 11, 2014 | Medicare payment basics
What you need to know This article, based on CR 8039, informs you that Medicare contractors may deny a Form CMS-855 enrollment application if the current owner of the enrolling provider or supplier or the enrolling physician or non-physician practitioner has an...