Wrong prescription numbers could return CAP claims

Article Overview

This article is for physician offices, billing staff, and other Medicare claims professionals who submit Competitive Acquisition Program drug claims. It describes new Medicare claim-processing edits tied to prescription order number formatting and duplicate reporting, and it outlines the general categories of return messages and remark codes that may appear when claims are rejected as unprocessable. The article also points readers to the CMS transmittal that introduced the changes.