ASCA Requirements for Paper Claim Submissions

Table of Contents ASCA Requirements for Paper Claim Submissions Submitting Electronic Claims Submitting Paper Claims ASCA Exception Criteria Related Content [Return to Top] ASCA Requirements for Paper Claim Submissions [...]

Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information

Are you responsible for looking up whether a service is covered in the Medicare program at your facility but you're not sure where to look for the most relevant information? As a health care provider, you are responsible for understanding [...]

The National Correct Coding Initiatives Procedure-to-Procedure and Medically Unlikely Edits

Centers for Medicare & Medicaid Services developed the National Correct Coding Initiative (NCCI) program to promote national correct coding. Incorrect coding often leads to improper payment and increases the paid claims error rate. If you [...]

Administrative Simplification Compliance Act Waiver Request Form

July 2025 Release "Dark Days" for the Common Working File Hosts

July 2025 Release "Dark Days" for the Common Working File Hosts For the Upcoming July 2025 Release: For Production, CWF will be observing the Gray Day on Wednesday, 7/2/2025 and Dark Days starting Thursday, 7/3/2025 (including July 4th [...]

July 2025 EDI Front End Quarterly Release

July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]

July 2025 EDI Front End Quarterly Release

July 2025 EDI Front End Quarterly Release Please be advised that while the CMS mandated release for July 2025 will be installed the weekend of 7/6/2025, the code set updates included with this release will not be effective in the EDI Front-End [...]

Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10

Claim Denials for Medically Unnecessary Ambulance Transports Table of Contents Claim Denials for Medically Unnecessary Ambulance Transports Medical Necessity and Coverage Guidelines for Ambulance Transport Avoiding Reason Code 55B10 [...]