Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)
Read the below article for more information on MSP ongoing responsibility for medicals.
Articles
Article Type
Category
Intensive outpatient program (IOP) billing requirements for institutional services
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with...
Medicare secondary payer (MSP) Contractor (formerly Benefits Coordination and Recovery Center [BCRC])
Read this article for more information on contacting the MSP Contractor.
COVID-19 vaccine and monoclonal antibody billing for Part B providers
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
Multiple procedure payment reduction
Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of...
Skilled nursing facility (SNF) leave of absence
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.
Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services...
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...
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...