Tips to prevent RUC CO4
This CARC code is received when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the...
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PC-ACE User Guide: Section 5 - Flu, pneumonia, COVID-19, hepatitis B, or monoclonal antibody (mAb) infusion injection roster billing
Roster billing is available for Part B providers that bill for influenza, pneumonia, COVID-19, hepatitis B, and Monoclonal...
Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for...
FastTrack to Medicare coverage policies
FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and...
Tools & forms: Compliance / Review
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Proposed local coverage determinations (LCDs): Open meetings
Online registration for the March 5 open meeting is now available, and presenter registration will close at noon ET on March 3....
Tools & forms: Billing / coding
Use these self-service tools and forms related to billing and coding.