Understanding radiopharmaceutical fee schedule amounts and billing expectations
Read this clarification regarding how radiopharmaceutical payment limits should be interpreted and how providers are expected to...
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2023 payment rates for opioid treatment program (OTP)
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2023...
Claim Reopening Gateway - Help Guide
The Claim Reopening Gateway is an interactive tool that requires no registration or enrollment and offers a quick and easy way...
Part B service-specific review – clinical laboratory presumptive and definitive drug testing
Summary for Clinical Labs (November 2020).
MLN Connects for January 16, 2025
This edition includes information on extended telehealth flexibilities, Hympavzi covered under Part B, cervical health, and more...
MLN Connects for October 31, 2024
This edition includes information on preventing claim denials for hip and knee replacements; PrEP for HIV billing, revised...
Limited systems availability Thursday, July 2 through Sunday, July 5
There will be Common Working File (CWF) "dark days" Thursday, July 2, through Sunday, July 5, affecting the IVR.