MEDICAL REVIEW: Why did I receive a Comparative Billing Report?

MODIFIERS: When do I need to append the 99 modifier?

MODIFIERS: When is it appropriate to append the AQ modifier?

MODIFIERS: When is modifier 50 used?

MODIFIERS: When should modifier 51 be added to a claim?

MODIFIERS: When should the QW modifier be appended?

PC-ACE: Is there a resource I can use to assist me with Medicare Secondary Payer (MSP) claims when using PC-ACE?

PC-ACE: Where can I find out more about the PC-ACE free billing software?

PC-ACE: How do I correct a web browser error when downloading or making changes to the software?

PC-ACE: How do I determine the version of PC-ACE I am using?

PC-ACE: How often is the PC-ACE software upgraded?

PC-ACE: Why am I receiving security rights error/issue when installing PC-ACE?

Does Medicare cover a sign language interpreter?

What is my Payer ID?

What is my pay-to address?

What is the ICN?

What is the QIC timely filing limit?

What is the address to send the QIC appeal?

What is the denial date?

What is the mailing address for submitting a claim?

What is the receipt date of the claim?

What is the refund address?

What is the timely filing for an appeal?

What is timely filing for a claim?

What is timely filing to adjust a claim?

Where are the appeal forms?

Where is the written Part B Reopening Form located?

REMITTANCE: Can I post the electronic remittance advice information into my accounts receivable system?

REMITTANCE: Do I need special computer software to use the electronic remittance advice?

REMITTANCE: How long will I receive paper remittances once I sign up for the electronic remittance advice?

REMITTANCE: If I have a computer problem while trying to download my electronic remittance advice, can I have it reposted to download again?

REMITTANCE: What do the two-letter codes on my remittance advice mean?

Beneficiary Eligibility Information Not Offered on the IVR Beginning 11/18/2024

Beneficiary Eligibility Information Not Offered on the IVR Beginning 11/18/2024 To help protect Medicare beneficiaries against fraud, CMS is instructing all MACs to remove beneficiary eligibility information from our IVR systems. Starting [...]

Navigating Medicare: Part B Insights for Providers Podcast

MLN Connects® Newsletter: October 10, 2024

MLN Connects® Newsletter: October 10, 2024 News Resources & Flexibilities to Assist with the Public Health Emergency in Florida CMS Roundup (October 4, 2024) Clinical Laboratory Fee Schedule: Reporting Delayed Until 2026 Respiratory [...]

DETERMINATION LETTER: How can I get a copy of the determination (approval/denial) letter for a submitted application?

Jurisdiction 6 Part B Top Claim Errors are Updated

Jurisdiction 6 Part B Top Claim Errors are Updated Using data analysis we update the Top Claim Errors on a quarterly basis and provide: the error reason code; a description of the error; the error type; details that include steps you can [...]

Submitting Revalidation via PECOS

During this webinar, we’ll provide an understanding of how to utilize the CMS Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a provider enrollment electronic application.

Coverage Criteria and Frequency Limits

Coverage Criteria and Frequency Limits Table of Contents Counseling to Prevent Tobacco Use Diagnosis Coding Cost Sharing Reimbursement Nonparticipating Providers Related Content [Return to Top] Counseling to Prevent Tobacco Use [...]

Tobacco Cessation Telehealth Guide

Tobacco Cessation Telehealth Guide Tobacco use is the leading cause of preventable disease, disability, and death in the United States. Each year, nearly half a million Americans die prematurely of smoking or exposure to secondhand smoke. [...]