Claims

Determine if a patient is enrolled in hospice before billing Medicare. This article has tips on checking patient eligibility and avoiding hospice claim rejects.

This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that experience claim rejections for overlapping dates of service.

Commonly received reason codes when the Medicare deductible amount matches the full payment amount on the claim.

This article provides guidance on billing medically necessary and non-medically necessary inpatient private room accommodations.

CMS quarterly updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.

The hospice election statement addendum is now mandatory for all hospice elections beginning on and after October 1, 2026.

The drug codes list and the radiopharmaceutical codes list have been updated.

This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.

Incorrect duplicate denials have occurred for chronic care management (CCM) and remote physiological management (RPM) services billed on the same date of service as an E/M visit. Incorrectly denied…

This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.