Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment...
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Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and...
Cardiac and pulmonary rehabilitation programs
Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR)...
Skilled nursing facility (SNF) leave of absence
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.
Qualifying stay edit C7123
Read this article to learn more about skilled nursing facility (SNF) qualifying stay edit C7123.
Skilled nursing facility (SNF) demand bill
Read this article to learn more about skilled nursing facility (SNF) demand billing.
Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.
Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services...
Ambulance transport - multiple patients
Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.
Counting units for therapy codes
Read this article to learn how to count units to properly bill therapy HCPCS codes.