Avoiding/Correcting This Error
Ensure all Medicare coverage and medical necessity requirements are met prior to billing. When the provider determines that Medicare will not cover the services, consider submitting the charges as noncovered. [...]
Avoiding/Correcting This Error
Review each line level denial reason code(s). Follow the steps provided in that line level reason code narrative. Line level reason code(s) appear on the right view of claim page two (MAP171D). In order to access [...]
Avoiding/Correcting This Error
If services are unrelated to hospice stay, resubmit with condition code 07 (treatment of nonterminal illness for hospice patient).
Verify hospice enrollment prior to claim submission by reviewing the CWF, the [...]
Avoiding/Correcting This Error
Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS/DDE Provider Online System or NGSConnex to verify [...]
Avoiding/Correcting This Error
Each beneficiary should be screened for eligibility. Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the IVR system, the [...]
Avoiding/Correcting This Error
Each beneficiary should be screened for eligibility. Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS Provider [...]
Avoiding/Correcting This Error
Verify the admission date, from, and through dates on the claim and compare the dates to the HMO entitlement dates.
Verify the admission date, from, and through dates on the claim and compare the dates to the [...]