New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center...
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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...
Quick reference chart for billing Medicare secondary payer (MSP) claims
Use this article as a quick reference for billing claims where Medicare is the secondary payer.
Medicare secondary payer (MSP) billing
Read this article for more information on how to bill claims when Medicare is the secondary payer.
COVID-19 vaccine and monoclonal antibody billing for Part A providers
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Read this article for information on vaccine fees for calendar year 2025.
Medicare deductible and coinsurance
View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program.
Diagnostic testing for sleep disorders
This is an article about diagnostic testing for sleep disorders.
Ending AX modifier requirements for acute kidney injury (AKI) and end stage renal disease (ESRD)
Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and...
Radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer
Read this article to learn more about radioactive diagnostic agents for positron emission tomography of prostate-specific...