MLN Connects for June 18, 2026
This edition includes information on the 2026 National Provider Compliance Conference, services for patients with opioid use...
Articles
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Medical necessity requirements for skilled nursing facility (SNF) admissions
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF...
Tips to prevent claim adjustment reason code (CARC) CO 97
Review this article for tips to prevent claims from denying with reason code CO 97.
Develop and implement a compliance program
A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.
Tips to prevent claim adjustment reason code (CARC) CO B9
Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.
Modifier 52 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...
Screening for hepatitis C virus National Coverage Determination
CMS clarified billing requirements for the screening for hepatitis C virus in adults.
First Coast supports Part B billing awareness during the month of June
Keep the momentum going -- navigate Part B post-payment claim scenarios! Attend the Medicare Navigator Part B Billing series and...
Mental health counselor (MHC)
Read further for requirements of becoming a mental health counselor with Medicare.