Articles

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical...

This edition includes information on skilled nursing facility reporting, the January ASC payment update, and more.

Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar...

This edition includes information on PPE & Essential Medicines, DMEPOS, Hospital Price Transparency and more.

Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has...

Effective for dates of service on or after August 7, 2019, Medicare will pay claims from approved providers for administration...

This edition includes information on E/M and intravitreal injections billing, vagus nerve stimulation NCD, telehealth, and more.

Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP...

This edition includes information on enrollment site visits, remote patient monitoring, travel allowance fees for specimen...

Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage...