Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The code list for drugs has been updated.
Articles
Article Type
Category
Part B reimbursement fees: Transportation of portable X-ray equipment (R0070/R0075)
View current and prior year's portable x-ray reimbursement rates.
Limited systems availability Friday, April 3 through Sunday, April 5
There will be Common Working File (CWF) "dark days" Friday, April 3, through Sunday, April 5, affecting the IVR.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be...
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...
New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center...
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims...
Physician supervision of diagnostic tests
The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act...
Ambulatory surgical center payment indicators
This page contains a list of current payment indicators (PI) for procedures provided in an ambulatory surgical center (ASC) as...
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...