Split or shared E/M guidelines: Medicare Claims Processing Manual updates
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
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Update history: LCD and article updates
View the most recent updates for our LCDs and articles. The comment period for a proposed LCD is currently open and will close...
Approved cost report vendors
CMS has approved the following cost report software vendors for the electronic submission of yearly Medicare cost reports.
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
Electronic cost report exhibit templates
This is information about exhibit templates for filing a cost report in electronic format.
Electronic submission of supporting documentation
This is a list of documents that should be sent in electronic format.
Low and no Medicare utilization cost reports
This defines what is required when filing a low or no utilization cost report.
No Medicare policies identified
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary...
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...