Articles
Article Type
Category
Requesting a comparative billing report -- Part B providers
Complete review of the Retrieve Documents feature in SPOT.
Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost...
Ambulance transport - multiple patients
Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.
Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Correct reporting of MSP type on electronic claims
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
Goniotomy procedures performed in conjunction with insertion of a glaucoma drainage device is considered not reasonable and necessary
View this reminder regarding correct reporting of micro or minimally invasive glaucoma surgery (MIGS).
Medicare secondary payer (MSP): Medicare as the tertiary payer
Read this article for information on how to submit your Part B claim when more than one insurance is primary to Medicare.
Medicare secondary payer (MSP): Medicare as the tertiary payer
Read this article for billing guidelines when Medicare is the tertiary payer.
Quick reference chart for Medicare Secondary Payer (MSP) claims
Review this chart for information on submitting accurate MSP claims.