Articles

Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...

CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in...

This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.

Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization...

Read this article to learn more about CERT reviews for vaccine and roster billed claims.

CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory...

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly...

CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or...

Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and...

Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover...