Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...
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Processing of Medicare Secondary Payer (MSP) claims
Read this article for an important change to MSP claim processing.
Providers billing for drug Octagam HCPCS code J1568
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of...
Checklist: Application of skin substitutes
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Checklist: Chemotherapy, drugs, biologicals, and injection services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Checklist: Evaluation and management (E/M) services documentation
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Checklist: Major hip and knee joint replacement or reattachment of lower extremity
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Checklist: Endovascular cardiac valve replacement and supplement procedures
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Checklist: Cardiac defibrillator implant w/o cardiac cath
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Checklist: Aftercare, musculoskeletal system and connective tissue
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...