Articles

Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is...

The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837...

Find the latest Medicare news identified specifically for opioid treatment programs as well as helpful information, education...

Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more...

Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment...

Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific...

Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article...

Use this decision flowchart to assist in correctly applying the 78 modifier.

Use this decision flowchart to assist in correctly applying the 58 modifier.

Information pertaining to end-stage renal disease, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs...