Unsolicited / voluntary refunds notification for calendar year (CY) 2025
View this notification regarding unsolicited / voluntary refunds.
Articles
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Unsolicited / voluntary refunds
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to...
Targeted probe and educate (TPE) round results: Skilled nursing facility (SNF)
Review the top denial / partial denial reasons and high-level results of SNF TPE round results.
Targeted probe and educate (TPE) round results: Wound debridement
View TPE round results for wound debridement (CPT 11102-11103, 11200-11201, 11300-11303, 11305-11313 and 11401-11406, 11421...
Service-specific reviews
View these current post-payment service-specific reviews and available results.
Part B service-specific review – clinical laboratory lipid panel (80061)
Summary for clinical laboratory lipid panel (June and July 2021).
Part B service-specific review – clinical laboratory presumptive and definitive drug testing
Summary for Clinical Labs (November 2020).
Targeted probe and educate (TPE) round results: Wound debridement (CPT 11042-11045)
Review the top denial/partial denial reasons and high-level results of wound debridement (CPT 11042-11045) TPE round results for...
Clinical trials background
Medicare covers the routine costs of qualifying clinical trials, as such costs are defined in National Coverage Determination...
Open meeting fact sheet
The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer...