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)...
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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.
Requesting a comparative billing report -- Part B providers
Complete review of the Retrieve Documents feature in SPOT.
Annual wellness visits (AWVs)
Medicare Part B covers annual wellness visits (AWVs) and other related services for qualifying beneficiaries. Learn more about...
Colorectal cancer (CRC) screening
Medicare Part B covers various colorectal cancer (CRC) screening tests furnished to individuals for the purpose of early...