Avoiding/Correcting This Error
Verify billing and, if appropriate, correct and return the claim.
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Billing for FQHC MAO Plan Supplemental Payment (PPS Providers)
CMS Internet-Only Manual 100-04, Medicare Claims Processing [...]
Avoiding/Correcting This Error
Verify the line level rejection information to determine the rejection for each of the lines of the claim in question. Resubmit as appropriate. Line level reason code(s) appear on the right view of claim page two [...]
Avoiding/Correcting This Error
Verify the line level rejection information to determine the rejection for each of the lines of the claim in question. Resubmit as appropriate. Line level reason code(s) appear on the right view of claim page two [...]
Avoiding/Correcting This Error
Each FQHC PPS claim must be billed with a qualifying visit code, and associated line-item charges, along with all other FQHC services furnished during the encounter. A qualifying visit code is the code that [...]
Avoiding/Correcting This Error
Payment for a FQHC encounter requires a medically necessary face-to-face visit. Each FQHC specific payment code (G0466-G0470) must have a corresponding service line with a HCPCS code that describes the qualifying [...]
Avoiding/Correcting This Error
Payment for a FQHC encounter requires a medically necessary face-to-face visit. Each FQHC specific payment code (G0466-G0470) must have a corresponding service line with a HCPCS code that describes the qualifying [...]
Avoiding/Correcting This Error
Check/verify the beneficiary's entitlement dates in the CWF. A Medicare beneficiary, or their authorized representative, may have requested a new MBI. Verify eligibility and MBI number, correct and return the claim.
Avoiding/Correcting This Error
Verify billing and, if appropriate, correct and resubmit the claim for payment.
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MLN® Booklet: How to Use the PFS Look-up Tool
Avoiding/Correcting This Error
Ensure the appropriate revenue code(s) and HCPCS/CPT code(s) are reported on the claim and each claim line contains the correct service date. Verify the information billed and PF9 to resubmit.
Related [...]
Avoiding/Correcting This Error
If appropriate, correct and resubmit a new claim.
To prevent this error on future claims: Ensure you have received all charges from all departments and that no claim has been submitted for the same DOS [...]
Avoiding/Correcting This Error
If appropriate, correct and resubmit a new claim.
To prevent this error on future claims: Ensure you have received all charges from all departments and that no claim has been submitted for the same DOS [...]
Avoiding/Correcting This Error
Review the claim and either update the charges or remove the line containing zero or blank charges. Return the claim for processing.
Avoiding/Correcting This Error
Verify HCPCS code using the FISS DDE Inquiries HCPCS file (option 14) to determine the allowable revenue codes based upon the date of service.
Verify billing and, if appropriate, correct the claim using the [...]