2022 contractor-priced reimbursement rates for external electrocardiographic recording codes - Puerto Rico and U.S. Virgin Islands
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
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MLN Connects for August 7, 2025
This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.
E/M interactive worksheet: Help guide - prior to January 1, 2023
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents...
Fast facts: CERT C3HUB provider website overview
Read this article for information about the CERT C3HUB website.
Method II critical access hospitals: Reprocessing certain claims with reassigned billing rights
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007...
Critical access hospital (CAH) method II professional reassignments
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the...
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Reject reason code for Part A claims returned to a provider more than three times
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more...
Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.
Health equity innovation
CMS has designed several initiatives to eliminate disparities in health care quality and access so that all Medicare patients...