Articles

Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary...

Physician or allowed practitioner services involving certification and recertification of Medicare-covered home health services...

Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a...

Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under...

Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid...

This is a central location for incident-to services information, including links to related CMS resources and references...

CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new...

Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this...

CMS addresses chronic care management guidelines and how practitioners can offer access to care and care continuity, with...

This edition includes information on a proposed physician payment rule.