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View information related to the 340B drug payment policy remedy.

Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with...

Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when...

Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary...

The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same...

Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and...

Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under...

Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of...

Effective April 1, CMS implemented a new consistency edit to validate the attending physician NPI. Claims are returning with...

Are you providing outpatient therapy services on institutional claims and receiving reason code 34963 indicating the attending...