End-stage renal disease (ESRD) monthly capitation payment (MCP) claims
Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these...
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What physicians need to know: home health patient-driven groupings model (PDGM)
In November 2018, the CMS finalized a new case-mix classification model, the PDGM, effective beginning January 1, 2020. The PDGM...
Physicians: Are you ordering surgical dressings for your patients?
Please review this article from the durable medical equipment (DME) MACs about ordering surgical dressings for your Medicare...
Long term care facility prospective payment system standard versus site neutral payment
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH)...
Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to essential medicines
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to...
Clinicians: Are you ordering diabetic shoes for your patients? – Revised
Please review this article from the durable medical equipment (DME) MACs about ordering diabetic shoes for your patients.
Counting units for therapy codes
Read this article to learn how to count units to properly bill therapy HCPCS codes.
Diagnostic testing for sleep disorders
This is an article about diagnostic testing for sleep disorders.
Billing the correct Medicare secondary payer insurance type code
Do you want to know how to avoid MSP claims payment delays and inappropriate denials?
Requesting a comparative billing report -- Part A providers
Comparative billing report (CBR) information is available to providers and suppliers by request.