Articles

New to Medicare? Enrollment forms must be completed by all providers of services and suppliers of medical and other health...

As provided in §4507 of the Balanced Budget Act of 1997, a "private contract" is a contract between a Medicare beneficiary an...

Access everything you need to know about initially enrolling or reporting changes to your Medicare enrollment.

For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH)...

Question and answer regarding the indication of an anti-markup diagnostic service on a claim.

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical...

On November 20, 2025, CMS published a notice in the Federal Register (90 FR 52406) announcing a new occupational mix survey...

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.

Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a...

This edition includes information on skilled nursing facility reporting, the January ASC payment update, and more.