Articles
Article Type
Category
Finding fee schedule policy indicators
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
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.
Part B reimbursement fees: Transportation of portable X-ray equipment (R0070/R0075)
View current and prior year's portable x-ray reimbursement rates.
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...
Quarterly update to the Medicare Physician Fee Schedule Database (MPFSD) - April 2026 update
Effective April 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which...
Restricted codes for claim reopenings
List of codes that cannot be corrected using the reopening process in SPOT.
Fee schedule for administration of influenza and pneumococcal virus vaccines
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471.
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...
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...