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Where can I see the Medically Unlikely Edit (MUE) value assigned to a CPT or HCPCS code? 02/19/2021
What is the format of a Railroad Medicare Provider Transaction Access Number (PTAN)? 01/05/2021
Are Your Medicare Secondary Payer (MSP) Claims Rejecting? 01/04/2021
Can a single visit be counted as both the IPPE and an AWV? 12/30/2020
Is there a deductible or coinsurance/copayment for the Annual Wellness Visit (AWV)? 12/30/2020
What are the appropriate procedure codes for the first and subsequent AWVs? 12/30/2020
What types of health professionals can perform an Annual Wellness Visit (AWV)? 12/30/2020
After I receive a 277CA will I receive anything else? 12/15/2020
How can I check on the status of my Railroad EDI Enrollment Form? 12/15/2020
How do I restore a remit file? 12/15/2020
How much is the annual therapy cap? 12/15/2020
Is the 277CA returned for each test submission? 12/15/2020
Once I enroll for electronic billing, do I automatically receive electronic remits? 12/15/2020
PC-ACE Pro32 software FAQs 12/15/2020
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 12/15/2020
What is a Network Service Vendor? 12/15/2020
What is an approved software vendor? 12/15/2020
What is my Submitter ID? 12/15/2020
What provider address should I include on the EDI enrollment forms? 12/15/2020
What provider name should I include on the EDI enrollment forms? 12/15/2020
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 12/15/2020
What Submitter Name should I enter on the Provider Authorization form? 12/15/2020
When is a provider authorization form required? 12/15/2020
Where can I locate the payer ID for Railroad Medicare? 12/15/2020
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 12/15/2020
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? 12/15/2020
How can I call Customer Service? 12/14/2020
Can other medical services be performed at the same time as an AWV? If so, how are they coded? 12/10/2020
Is the Annual Wellness Visit (AWV) the same as a beneficiary's yearly physical? 12/10/2020
Am I a type or specialty that can order or refer items or services for Medicare beneficiaries? 12/01/2020
Am I required to bill with HCPCS modifer JW when reporting waste from a single use drug vial? 12/01/2020
Are chiropractors required to report the ordering/referring provider on claims when billing for an X-ray or other diagnostic radiology service? 12/01/2020
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 12/01/2020
Are observation codes submitted by the hour or by the calendar date? 12/01/2020
Are we required to submit our Medicare Secondary Payer (MSP) claims electronically? 12/01/2020
As a rendering physician, how should I report my NPI on a claim? Do I submit differently if I am a member of a group? 12/01/2020
By the time you received my refund, you had already offset my claim. Why wasn't my refund returned to me? 12/01/2020
Can a nurse practitioner perform the initial hospital visit? 12/01/2020
Can a physician or physician's group bill the modifier to indicate a laboratory test was performed by a reference laboratory? 12/01/2020
Can a provider request immediate offset for voluntary refunds or for solicited overpayments prior to the 40-day interval? 12/01/2020
Can a provider submit a hospital inpatient, office or outpatient evaluation on the same calendar date as a critical service? 12/01/2020
Can a service with the GY HCPCS modifier be appealed? 12/01/2020
Can an ABN (Advance Beneficiary Notice of Noncoverage) be issued for HCPCS code A0427-ALS 1/Emergency Transports? 12/01/2020
Can an evaluation and management (E/M) service be performed as a split or shared service? 12/01/2020
Can an independent laboratory bill both non-referred (i.e., self-reported) and referred services on the same CMS-1500 (02/12) claim form? 12/01/2020
Can an independent laboratory bill both non-referred (i.e., self-reported) and referred services on the same electronic claim? 12/01/2020
Can HCPCS modifier JW be billed for the discarded amount of a drug from a multi-use vial? 12/01/2020
Can I bill for drug wastage from a multi-dose/multiuse vial or package of drug or biological? 12/01/2020
Can I bill Railroad Medicare for administering a Part D vaccine? 12/01/2020
Can I bill you for sending requested documentation for a prepayment or postpayment review? 12/01/2020
Can I call the Reopening line to change the total number of post-operative days I billed? 12/01/2020
Can I call the Telephone Reopening Line to correct a rejected claim? 12/01/2020
Can I print or view remittances online? 12/01/2020
Can I request a reopening to remove a claim line? 12/01/2020
Can I request an immediate offset through eServices for both demanded overpayments and voluntary refunds? 12/01/2020
Can I submit a subsequent hospital visit if my documentation does not support one of the three levels of an initial hospital visit? 12/01/2020
Can I use an ABN (Advance Beneficiary Notice of Noncoverage) for chiropractic services? 12/01/2020
Can my billing agency or clearinghouse request my PTAN from Railroad Medicare? 12/01/2020
Can my billing agency or clearinghouse update my provider enrollment record with Railroad Medicare? 12/01/2020
Can Railroad Medicare beneficiaries have coverage through a Medicare Advantage plan? 12/01/2020
Can time alone be used to select an E/M code? 12/01/2020
Can time be used as a basis for E/M code selection in regards to add-on psychotherapy services? 12/01/2020
Can we bill a patient for a service that denied due to MUE? Should we issue an Advance Beneficiary Notice (ABN) to the patient in this case? 12/01/2020
Can we utilize the "status of three or more chronic/inactive conditions" as an extended History of Present Illness (HPI) for the 1995 guidelines? 12/01/2020
Can "incident to" occur in place of service (POS) 19 or 22 (outpatient hospital)? 12/01/2020
Do I have to be enrolled with Railroad Medicare to be able to order or refer services for a Railroad Medicare beneficiary? 12/01/2020
Do I have to revalidate my provider enrollment with the RRB SMAC? 12/01/2020
Do I need to notify Railroad Medicare if we add an additional practice location? 12/01/2020
Do I need to notify Railroad Medicare of a provider or practice name change? 12/01/2020
Do I need to notify Railroad Medicare that a provider's address has changed? I have already notified our local Medicare Administrative Contractor (MAC). 12/01/2020
Do I need to obtain prior authorization or precertification before I provide a Part B service to a Railroad Medicare patient? 12/01/2020
Do subsequent chiropractic visits need new treatment plans? 12/01/2020
Does a beneficiary need to sign an Advance Beneficiary of Noncoverage (ABN) for every visit? 12/01/2020
Does it matter what position modifiers are submitted on an anesthesia claim? 12/01/2020
Does it matter what position pricing modifiers are submitted on a claim? 12/01/2020
Does Medicare allow providers to bill a patient for a missed appointment? 12/01/2020
Does Medicare reimburse for ambulance transportation to and from a physician's office? 12/01/2020
Does Railroad Medicare cover shingles vaccines? 12/01/2020
Does Railroad Medicare cover TDAP shots? 12/01/2020
Does Railroad Medicare cover tetanus shots? 12/01/2020
Does Railroad Medicare have Local Coverage Determinations (LCDs)? 12/01/2020
Does Railroad Medicare need copies of our provider's/practice's insurance policy? 12/01/2020
Does time need to be documented in order to submit for a hospital or nursing facility discharge service? 12/01/2020
Generally speaking, when we say "objective measures," what does that mean? 12/01/2020
How can I check the status of my Appeal request submitted through eServices? 12/01/2020
How can I check the status of my PTAN request? 12/01/2020
How can I determine if an MUE value applies to the date of service or the line of service? 12/01/2020
How can I get a duplicate remittance notice? 12/01/2020
How can I tell if a remittance was paid by paper check or by electronic funds transfer (EFT)? 12/01/2020
How do I access Immediate Offset and electronic payments for Medicare overpayments and voluntary refunds in eServices? 12/01/2020
How do I address Chiropractic treatment goals if I see the patient once and no further treatment is necessary? 12/01/2020
How Do I Find a Form? 12/01/2020
How do I find Comprehensive Error Rate Testing (CERT) information in the eServices portal? 12/01/2020
How do I make text larger to make it easier to read? 12/01/2020
How do I report a provider address change? 12/01/2020
How do I request immediate offset on an established overpayment due to Railroad Medicare? 12/01/2020
How do I submit an Appeal online? 12/01/2020
How do I update my provider information on an existing Railroad Medicare provider number? 12/01/2020
How do I upload attachments to an appeal request? 12/01/2020
How do I verify the effective date of my electronic fund transfer (EFT)? 12/01/2020
How do you determine if an ambulance transport is considered emergent? 12/01/2020
How does a chiropractor submit a claim for an office visit and X-rays to Medicare for the denial of statutorily excluded services for the patient's secondary insurance company? 12/01/2020
How does the CERT process work? 12/01/2020
How is compliance with the CERT contractor's request for medical records beneficial to providers? 12/01/2020
How is the CERT paid claims error rate determined? 12/01/2020
How long does the CERT contractor have to review the medical records? 12/01/2020
How long will it take Railroad Medicare to issue a PTAN? 12/01/2020
How many units of services should I submit when I am billing a bilateral surgical procedure with CPT modifier 50? 12/01/2020
How often are CARCs and RARCs updated? 12/01/2020
How should I list the name of the ordering/referring provider when submitting my paper and electronic claims? 12/01/2020
How should time spent with the patient and/or family member doing psychotherapy be documented? 12/01/2020
How should we calculate the time for time-based psychotherapy services for the purposes of submitting claims? 12/01/2020
How will we be notified of the review decision? 12/01/2020
How would I know a Railroad patient is enrolled in a Medicare Advantage plan when they presented their Railroad Medicare Card? 12/01/2020
I am a hospitalist and all records for my services are part of the patient's hospital record. Why do Medicare contractors send me the request for medical records and not the hospital? 12/01/2020
I am an opt-out physician and would like to order and refer services. What do I need to do? 12/01/2020
I billed for a chemotherapy drug with HCPCS code J9999 and it denied. Why? 12/01/2020
I billed multiple patients on one ambulance trip with HCPCS modifier GM, why are my claims still being denied? 12/01/2020
I did not receive the prepayment ADR letter Medical Review sent for my claim. How can I get a copy of the letter? 12/01/2020
I have primary payment for a consultation service. My software does not allow me to change the procedure code to an E/M code that Medicare will accept. Since Medicare no longer accepts consultation codes, can I bill the patient the co-pay from the primary insurance and not submit a claim to Medicare? 12/01/2020
I just received my Part B MAC PTAN. How soon can I request a Railroad Medicare PTAN through the PTAN Lookup and Request Tool? 12/01/2020
I noticed a "multiple procedure" modifier on my remittance advice but I did not submit it. The service was allowed, but should I have included this modifier on my claim? 12/01/2020
I rarely file paper claims and do not want to buy new forms. What are my options? 12/01/2020
I received a letter saying I have to file claims electronically with Railroad Medicare and references "ASCA". What does "ASCA" mean? 12/01/2020
I received a prepayment review letter from Medical Review requesting supporting documentation for a claim. What form should I use when returning the requested information? 12/01/2020
I sent my claim to Railroad Medicare but the IVR and eServices indicate that it is not on file. Should I call and ask a representative to search for the claim? 12/01/2020
I submitted an assigned claim. Why was the payment sent to the patient? 12/01/2020
If a forwarding address notification is submitted to the post office when a provider changes site location, will Medicare remittance advices and/or check payments be forwarded to the new address? 12/01/2020
If a paramedic (not an EMT) is requested for a transport (emergent or non-emergent), but no advanced life support (ALS) procedures are performed is it considered an ALS transport? 12/01/2020
If a patient had one system complaint that was documented for the review of systems (ROS) and then the provider documented "patient has no other complaints," is that enough to receive a complete ROS? 12/01/2020
If a patient is being transported to a wound care center located within a hospital or on hospital grounds, which destination modifier would be used when filing the claim? 12/01/2020
If a patient is transported by ambulance to hospice prior to the initial assessment and development of the plan of care, what destination modifier do I use? 12/01/2020
If a patient presents to the office for an injection or venipuncture, would it be acceptable to submit an office or other outpatient visit CPT code? 12/01/2020
If an ambulance is dispatched as a result of a 911 call, arrives at the scene, does an assessment of the patient and it is found there is no need for the transport, would the Advanced Beneficiary Notice (ABN) be used in this case if we intend to bill the patient? 12/01/2020
If another provider admits a patient into Observation Care and I provide a consult, can I bill the observation care code? 12/01/2020
If I provide a statutorily excluded service am I required to have the patient sign an ABN? 12/01/2020
If Medicare determines that my records are not legible, will you treat this as if no documentation is available? 12/01/2020
If my claim is denied for failure to submit requested documentation within 45 days of an Additional Documentation Request (ADR), should I submit a new claim and attach the requested documentation with the new claim? 12/01/2020
If my patient is registered in the emergency department and I am asked to see him/her, may I submit the emergency service? 12/01/2020
If the patient's secondary insurance is requiring a denial from Medicare for services that are statutorily non-covered, how does a chiropractor submit a claim for an office visit and X-rays to Medicare for denial? 12/01/2020
In my notes, I documented pain and muscle spasm in the lumbar region at L2-L3, but my claim denied due to an incomplete P.A.R.T. exam. Can you explain why? 12/01/2020
Is a chiropractor required to submit claims for non-covered services, such as an office visit, and how do I know if the patient's secondary insurance will consider the service if Medicare does not cover it? 12/01/2020
Is a supervising physician's signature required for services performed by a physician assistant in the emergency department? 12/01/2020
Is an address required in block 32 of the CMS 1500 (02/12) claim form when the place of service code billed is 12 (Home)? 12/01/2020
Is Coumadin or Heparin considered a 'drug requiring intensive monitoring for toxicity' under the Table of Risk? 12/01/2020
Is it acceptable to document "VSS" (vital signs stable)? How many vital signs must be listed in order to receive "credit" for the 1995 guidelines under "constitutional"? 12/01/2020
Is it acceptable to highlight information in the medical records when responding to a Medical Review Additional Documentation Request (ADR)? 12/01/2020
Is it acceptable to use 'noncontributory, unremarkable or negative' when reporting past, family or social history? 12/01/2020
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