Articles

This edition includes information on the skilled nursing facility revalidation deadline, opioid use disorder services, and more.

This edition includes information on the 2026 National Provider Compliance Conference, services for patients with opioid use...

This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF...

Review this article for tips to prevent claims from denying with reason code CO 97.

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.

Read this article for information about billing modifier 59.

Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...

CMS clarified billing requirements for the screening for hepatitis C virus in adults.



Keep the momentum going -- navigate Part B post-payment claim scenarios! Attend the Medicare Navigator Part B Billing series and...