Articles
Article Type
Category
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.
Drugs and biologicals
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related...
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...
Restricted codes for claim reopenings
List of codes that cannot be corrected using the reopening process in SPOT.
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...
Opioid treatment program (OTP)
Find the latest Medicare news identified specifically for opioid treatment programs as well as helpful information, education...
End-stage renal disease (ESRD)
Information pertaining to end-stage renal disease, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs...
Inpatient rehabilitation facility (IRF)
Information pertaining to Part A rehabilitation services, including links to LCDs/NCDs, education, FAQs, provider enrollment...