Articles

Learn more about PECOS and the enrollment process by accessing the following CMS resources and other helpful links.

Read this article for an example of questions to ask a patient to determine if Medicare is the primary claim payer.

Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under...

The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the...

Read this article regarding guidelines on the use of lifetime reserve days.

Inpatient psychiatric facility (IPF) benefits exhaust occurs when no benefit days remain in the beneficiary's applicable benefit...

This edition includes information on the PEPPER relaunch, Medicare beneficiary date of death manual update, enteral nutrition...

Here are additional educational resources identified specifically for ASC services.

Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover...

For any service or item to be covered by Medicare, it must be eligible for a defined Medicare benefit category, be reasonable...