Frequently Asked Questions

Find answers to frequently asked Medicare questions below. For help with eServices, view our eServices FAQs.

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What are the appropriate procedure codes for the first and subsequent AWVs? 11/16/2020
Jurisdictions J and M Part B Frequently Asked Questions: October 2020 10/26/2020
My claim for post-operative services billed with a modifier for 'Postoperative Management Only' was rejected. What information was missing? 10/19/2020
Why do the links in my email listserv not work? 10/19/2020
After I receive a 277CA will I receive anything else? 09/28/2020
How can I tell if I am set up for Electronic Billing? 09/28/2020
How do I restore a remit file? 09/28/2020
Is the 277CA returned for each test submission? 09/28/2020
PC-ACE Pro32 software FAQs 09/28/2020
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 09/28/2020
What is a Network Service Vendor? 09/28/2020
What is an approved software vendor? 09/28/2020
What provider address should I include on the EDI enrollment forms? 09/28/2020
What provider name should I include on the EDI enrollment forms? 09/28/2020
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 09/28/2020
What Submitter Name should I enter on the Provider Authorization form? 09/28/2020
When is a provider authorization form required? 09/28/2020
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 09/28/2020
Will you reject claims with a P.O. Box in the billing provider address? Will you reject claims where the group number and policy number are the same values? 09/28/2020
'Incident To' and Split/Shared Services Frequently Asked Questions 09/01/2020
A provider left our group. We have billed Locum Tenens for 60 days. If we use a different substitute physician every 60 days, can we continue to bill Locum Tenens under the exiting physician's National Provider Identifier (NPI)? 09/01/2020
Am I a type or specialty that can order or refer items or services for Medicare beneficiaries? 09/01/2020
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 09/01/2020
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service? 09/01/2020
Are observation codes submitted by the hour or by the calendar date? 09/01/2020
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