DMEPOS HCPCS codes jurisdiction list
CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC...
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Critical access hospital (CAH) method II professional reassignment deadline is January 1
Beginning January 2, 2026, CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment...
Part B fact sheet: Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment...
Cognitive assessment and care plan services
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly...
Tips to prevent reason code 326x4
Review this article if your claim is returning for reason code 326x4.
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X...
Critical access hospital (CAH) method II professional reassignments
CMS has issued new instructions concerning the Fiscal Intermediary Shared System (FISS) reason codes 31006 and 31007 for Method...
Medical decision making and the impact of prescription drug management
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management...
Returned to provider (RTP)
A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for...