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ABN  (0 questions)

ADA  (0 questions)

ADR  (3 questions)

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Requirements

APC  (0 questions)

ASCA  (19 questions)

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Additional Development Request  (0 questions)

Additional Documentation Request  (3 questions)

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Adjustments  (0 questions)

Administrative Simplification Compliance Act  (19 questions)

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Advance Beneficiary Notice of Noncoverage  (0 questions)

Ambulance  (0 questions)

Ambulatory Payment Classification  (0 questions)

American Diabetes Association  (0 questions)

Ancillary  (0 questions)

Annual Wellness Visit  (0 questions)

Appeals  (7 questions)

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Aranesp  (0 questions)


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Popular Topics

This list is the most-used topics that users looked at in the last 30 days.
1. ASCA
2. Appeals
3. ADR
4. DME
5. DMEPOS
6. Oxygen and Oxygen Equipment
7. Documentation
8. Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
9. Diabetic Testing Supplies
10. Capped Rental

Top Questions

This list is the most-used questions that users have looked at in the last 30 days.
1. Do I need to send a separate appeals request for each service/procedure code on the claim?
2. I am a small provider/supplier; can I submit both paper and electronic claims?
3. Am I required to meet all of the exceptions under the Administrative Simplification Compliance Act (ASCA) in order to submit paper claims?
4. What kind of supporting documentation should I attach to my Administrative Simplification Compliance Act (ASCA) Waiver Request?
5. If I request a redetermination, how long should it take before I am notified of the outcome?
6. I submit Medicare claims to several Medicare contractors and DME MACs. If I receive notification that I am permitted to send paper claims to one contractor or DME MAC, am I permitted to send paper claims to all contractors or DME MACs?
7. Can suppliers fax in their documentation regarding an additional documentation request (ADR) letter?
8. How does the ASCA Enforcement review work?
9. What steps can a supplier take to dispute a medical necessity denial?
10. If I disagree with Medicare’s decision from the Administrative Simplification Compliance Act (ASCA) Enforcement, may I appeal?

Recently Added

This lists the top-ten most recently added questions in our FAQ database.
1. Do I need to send a separate appeals request for each service/procedure code on the claim?
2. How can I stay up-to-date on changes made to Medicare?
3. What is the 2013 Medicare Part B deductible?
4. If the reasonable useful lifetime (RUL) is reached on oxygen, but the item hasn't capped out yet can I still start a new rental?
5. Why would I receive a CO-4 denial on a claim for diabetic shoes?
6. Why have I been receiving multiple CO-B7 denials on my claims?
7. I am not sure what the CO-97 denial means, it states "not paid by this contractor."
8. I am receiving CO-50 denials on all my hospital bed claims and I'm not sure why? The initial date is 03/04/2011.
9. Why am I receiving a CO-151 on claims for diabetic strips and lancets?
10. Where can I find out how many units of service Medicare allows for items?
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