Claims
Inpatient psychiatric hospital benefit days
Medicare provides a lifetime limit of 190 days of inpatient psychiatric hospital care for each beneficiary. Once all 190 days have been used, Medicare will not provide additional coverage for…
Important instructions for paper claim form CMS-1500 (version 02/12)
This article addresses important submission instructions for Optical Character Recognition (OCR) processing.
Outpatient Prospective Payment System (OPPS) addendums updates A, B, D1, and E
Review to find quarterly updates related to OPPS and I/OCE and review accessing the addendums* listed below.
Automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B
For Part B providers with multiple billing PTANs linked to a single NPI, learn about our automated process to match the most appropriate PTAN to your NPI.
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
Tips to prevent claim adjustment reason code (CARC) CO 97
Review this article for tips to prevent claims from denying with reason code CO 97.
Crossover claims: Supplemental insurance and Medigap plans
Read this article for more information on claims being crossed over to supplemental insurance and Medigap plans.