E-mail This Page E Mail Page Print This Page Print Page Bookmark This Page Bookmark Page Text Size Text Size Decrease Text Size Increase Change Business Type

Frequently Asked Questions

Search for frequently asked questions by entering your keyword in the field below and then selecting search.

 

Topics

TOPIC NAVIGATION
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T
U | V | W | X | Y | Z | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9
TOPICS: A

ABN  (4 questions)

Billing/Payment
Requirements

ADA  (0 questions)

ADR  (2 questions)

Billing/Payment
General Information

APC  (0 questions)

ASCA  (23 questions)

Forms
General Information
Requirements

Additional Development Request  (2 questions)

Billing/Payment
General Information

Additional Documentation Request  (0 questions)

Adjustments  (4 questions)

Billing/Payment

Administrative Simplification Compliance Act  (23 questions)

Forms
General Information
Requirements

Advance Beneficiary Notice of Noncoverage  (4 questions)

Billing/Payment
Requirements

Ambulance  (0 questions)

Ambulatory Payment Classification  (0 questions)

American Diabetes Association  (0 questions)

Ancillary  (0 questions)

Annual Wellness Visit  (1 question)

Requirements

Appeals  (4 questions)

Billing/Payment
General Information
Requirements

Aranesp  (0 questions)


Not Finding What You Are Looking For?

Didn't find the topic you were looking for, or found the topic but no related questions? Help us improve our FAQs by submitting your question via our submission form.

Not finding what you're looking for in the frequently asked question? Please suggest topics or questions by completing the form below. Please provide as much detail as possible so that we may more accurately assess your suggestion

*
*
* Indicates required fields

Note: The Centers for Medicare & Medicaid Services (CMS) does not allow National Government Services to accept protected health information (PHI) or personally identifiable information via e-mail.

Close

Thank You for Your Submission

Your submission has been sent to our content management team. Thank you for your feedback.

Close

Popular Topics

This list is the most-used topics that users looked at in the last 30 days.
1. ASCA
2. ABN
3. Adjustments
4. Appeals
5. ADR
6. Revenue Code
7. Federally Qualified Health Center
8. FQHC
9. Annual Wellness Visit
10. Medicare Secondary Payer

Top Questions

This list is the most-used questions that users have looked at in the last 30 days.
1. When is a condition code 20 used?
2. When is occurrence code 32 used?
3. Where do we mail our Administrative Simplification Compliance Act (ASCA) waiver request?
4. Is provider action ever needed for suspended claims?
5. Why do I receive reason code 39011 for untimely submissions and appeal requests?
6. How do I adjust a claim that has been medically denied?
7. When a beneficiary has an annual wellness visit within the 12 months guideline, will they be held responsible for the charges? Should an Advance Beneficiary Notice of Noncoverage (ABN) be issued?
8. Can a provider view additional development requests (ADRs) via the Fiscal Intermediary Standard System (FISS)/Direct Data Entry (DDE) Provider Online System?
9. I have a claim which was fully denied and I am attempting to use the new automated denial adjustment process, but the DDE system is not allowing me to adjust my claim. Why am I not able to bring up my claim and submit the adjustment?
10. How do we properly bill an MSP claim which has been paid in full by the primary payer? We submitted a claim with a value code 44 and a condition code 77 and Medicare still made a payment. Why?

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. Are we required to submit a claim to Medicare if the primary payer paid the claim in full?
3. How do federally qualified health centers (FQHCs) bill for the influenza and hepatitis vaccines when that is the only service the beneficiary is seen for?
4. How can I stay up-to-date on changes made to Medicare?
5. Is provider action ever needed for suspended claims?
6. How can I have my password reset?
7. How do we properly bill an MSP claim which has been paid in full by the primary payer? We submitted a claim with a value code 44 and a condition code 77 and Medicare still made a payment. Why?
8. We have received an extra payment on our remittance notice listed under the category "bad debt" and do not know what this is for. What does this payment represent?
9. I have a claim which was fully denied and I am attempting to use the new automated denial adjustment process, but the DDE system is not allowing me to adjust my claim. Why am I not able to bring up my claim and submit the adjustment?
10. What is the 2013 Medicare Part B deductible?
Centers for Medicare & Medicaid Services Logo