Automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part A
For Part A providers with multiple facility PTANs linked to a single NPI, learn about our automated process to match the most...
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Correct reporting of MSP type on electronic claims
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
Indicating an anti-markup diagnostic service on a claim
Question and answer regarding the indication of an anti-markup diagnostic service on a claim.
PWK option allows you to submit documentation with an initial claim
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837...
Hepatitis B vaccination
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or...
Goniotomy procedures performed in conjunction with insertion of a glaucoma drainage device is considered not reasonable and necessary
View this reminder regarding correct reporting of micro or minimally invasive glaucoma surgery (MIGS).
Cervical fusion with disc removal
Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain...
On-demand learning: Specialty services
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology...
Compliance matters: Third-party vendors, outsourced agencies, and you
Third-party vendors have an obligation to maintain Medicare compliance. See this article for detailed requirements.
Local and national coverage reference guide
Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage...