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Pathology and laboratory codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the pathology and lab...
Practitioners: Are you ordering spinal orthoses for your patients?
The durable medical equipment (DME) MACs are providing helpful guidance to assist the supplier in providing a spinal orthosis to...
Payment issue affecting end stage renal dialysis services on type of bill 72X
Payment issue affecting end stage renal dialysis services on type of bill 72X.
Physicians: Are you ordering external breast prostheses and supplies for your patient?
Please review this article from the durable medical equipment (DME) MACs about ordering external breast prostheses and supplies...
Ambulance transport – Deceased beneficiary
In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the...
Physicians: Are you ordering glucose monitors and supplies for your patients?
Please review this article from the durable medical equipment (DME) MACs about ordering glucose monitors and supplies for your...
Physicians: Are you ordering DMEPOS for your patients?
Please review this article from the durable medical equipment (DME) MAC about ordering durable medical equipment, prosthetics...
End-stage renal disease (ESRD) monthly capitation payment (MCP) claims
Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these...
What physicians need to know: home health patient-driven groupings model (PDGM)
In November 2018, the CMS finalized a new case-mix classification model, the PDGM, effective beginning January 1, 2020. The PDGM...