Frequently Asked Questions

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

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After I receive a 277CA will I receive anything else? 06/18/2019
How can I tell if I am set up for Electronic Billing? 06/18/2019
How do I restore a remit file? 06/18/2019
Is the 277CA returned for each test submission? 06/18/2019
PC-ACE Pro32 software FAQs 06/18/2019
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 06/18/2019
What is an approved software vendor? 06/18/2019
What provider address should I include on the EDI enrollment forms? 06/18/2019
What provider name should I include on the EDI enrollment forms? 06/18/2019
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 06/18/2019
What Submitter Name should I enter on the Provider Authorization form? 06/18/2019
When is a provider authorization form required? 06/18/2019
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 06/18/2019
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? 06/18/2019
Does Medicare cover preventive mastectomies when testing indicates a patient is at risk for developing breast cancer or when the patient has a genetic mutation? 06/13/2019
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)? 06/03/2019
Am I a type/specialty that can order or refer items or services for Medicare beneficiaries? 06/03/2019
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 06/03/2019
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service? 06/03/2019
Are observation codes submitted by the hour or by the calendar date? 06/03/2019
Are we required to submit our Medicare Secondary Payer (MSP) claims electronically? 06/03/2019
Are Your Medicare Secondary Payer (MSP) Claims Rejecting? 06/03/2019
Can a clinical pharmacist (Pharm D) perform an Annual Wellness Visit (AWV)? 06/03/2019
Can a nurse practitioner perform the initial hospital visit? 06/03/2019
Can a provider submit charges for evaluation and management "Level 4" office visit and prolonged care if the reason for the prolonged care was based on the patient requiring an interpreter? 06/03/2019
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