Incomplete colonoscopy billing requirements
CMS established values for incomplete diagnostic and screening colonoscopies under CPT definition of an incomplete colonoscopy...
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Audiology services
Audiology services are defined as hearing and balance assessment services furnished by a qualified audiologist legally...
Telehealth enrollment scenarios
CMS has made updates to telehealth enrollment scenario provisions. Please review the article for detailed requirements.
Teleradiology enrollment scenarios
CMS has issued new guidance regarding teleradiology enrollment scenarios. Read this article to learn more.
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims...
2026 Part B portable x-ray reimbursement rates - response to comments
This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to...
Skilled nursing facility (SNF) benefits exhaust
Read this article to learn more about billing skilled nursing facility (SNF) claims when benefits have exhausted.
Requesting a comparative billing report -- Part B providers
Complete review of the Retrieve Documents feature in SPOT.
Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost...