FAQ

Enjoy our FAQs. We hope they answer all of your questions. If not please feel free to email education@rgbagov.com

Hospitals

Find out answer to questions such as:

How do I verify Psychiatric days available for the patient?
or
Are subacute care facilities included in the transfer policy?

Skilled Nursing Facility

Find out answer to questions such as:

Does Occurrence Code A3 note benefits are exhausted on the claim?
or
Why does an Intermediary need to review a Skilled Nursing Facility demand bill?

End Stage Renal Disease

Our ESRD claim was returned for reason code 36110. Can you clarify what this reason code means and how we correct the claim?

General

Find out answer to questions such as:

Our claim was rejected for overlapping service dates. How do we correct this?
or
How can our facility verify claim status?

Therapy

Find out answer to questions such as:

What are the basic elements for documentation for therapy services?
or
Our claims were returned to us for correction with reason code 32221. How do we correct this?

Customer Service

Discover answers to:

I received my remittance advice, but not the associated check. Who can help me?
or
How do I identify the beneficiary's liability on a claim?

Rural Health Clinic FAQs

Helpful information about frequently asked questions for Rural Health Clinics.

CMS Frequently Asked Questions (FAQs)

The frequently asked questions (FAQs) are now available in the CMS question and answer (Q&A) database. Access to the FAQs is available from any CMS web page by clicking the Question link in the header menu along the top of the page.