Articles

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.

The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All...

View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department...

Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...

View these instructions for the CMS-855O form.