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  • Posting Date: 02/26/2024
    Ambulance Duplicate Claim Denials

    Ambulance Duplicate Claim Denials Duplicate trips may be reported on the same claim if the ZIP code for the point of pick-up for both trips is the same. If separate claims are submitted for the same beneficiary on the same day with the same [...]

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  • Posting Date: 01/31/2015
    Ambulance Transports Included in SNF Consolidated Billing

    Ambulance Transports Included in SNF Consolidated Billing Transport Description Medical Necessity Met Ambulance Billing Modifiers and Other Considerations Who is Responsible for Payment? Reference(s) SNF to [...]

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  • Posting Date: 03/27/2025
    Top JK Part B Claim Errors are Available

    Top JK Part B Claim Errors are Available We conduct a comprehensive data analysis on a quarterly basis to update and disseminate the latest insights on the most common claim errors. This initiative provides:  Claim Error Reason Code [...]

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  • Posting Date: 03/27/2025
    CO-16

    Avoiding/Correcting This Error Certain services require the name and NPI of the ordering or referring physician, depending on the service type. Definitions:  Referring physician: Requests an item or service for a Medicare beneficiary. [...]

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