In Billing
Jun 28th, 2018
Effective July 2, CMS-1500 hard copy claims should not list the same ICD-10-CM diagnosis code twice within item 21. Medicare Administrative Contractors (MACs) and Durable Medical Equipment (DME) MACs have been instructed to return these claims as unprocessable. Here’s Why Medicare is implementing systems changes to ensure that all Part B 837 coordination of benefits/Medicare ...
Dec 9th, 2015
Medicare claims processing systems contain edits that identify exact duplicate claims and suspect duplicate claims. Duplicate claims are counterproductive and costly, and they can get you into hot water with your Medicare administrative contractor (MAC): Too many billing errors (of any nature) may result in your MAC imposing program integrity actions against your practice. So ...
In Billing
May 14th, 2010
Change Request (CR) 6901 announces the latest update of Remittance Advice Remark Codes (RARCs) and Claim Adjustment Reason Codes (CARCs), effective July 1. The reason and remark code sets must be used to report payment adjustments in Remittance Advice (RA) transactions. The reason codes are also used in some Coordination of Benefits (COB) transactions. Part ...
In CMS
Dec 15th, 2008
Make sure your billing staff is using the latest remittance advice remark codes (RARCs) and claim adjustment reason codes (CARCs). The Centers for Medicare & Medicaid Services (CMS) released a periodic update in November that includes several code changes. Time to Update Your RARC and CARC Lists was last modified: July 5th, 2011 by admin ...