Requesting a comparative billing report -- Part B providers
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Requesting a comparative billing report -- Part A providers
Comparative billing report (CBR) information is available to providers and suppliers by request.
End stage renal disease (ESRD): Payment for phosphate binders effective January 1
Effective January 1, phosphate binders are paid as a renal dialysis service under Medicare Part B. Read this article to learn...
Syfovre (J2781) removed from injection frequencies system editing
Read this article to learn more about J2781 being removed from injection frequency editing.
Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in...
E/M: Reviewing amount and/or complexity of data
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA...
Clinicians: Are you ordering urological supplies for your patients?
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8)...
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
Reporting manifestation diagnosis codes
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article...
Travel allowance for collection of specimens
Read this article to learn more about the travel allowance paid for the collection of specimens.