Billing

RHCs are paid on the basis of an encounter. An encounter is defined as “a face-to-face encounter between the patient and a practitioner (physician, physician assistant, nurse practitioner, nurse…

The following document was developed based on questions and answers posed during our webinars on the OTP benefit.

The following document was developed based on questions and answers posed during our webinars on the OTP benefit.

In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to essential Medicines. Read this article to learn more.

Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…

Visit the CMS Vaccine Pricing webpage to get 2026–2027 seasonal influenza and COVID-19 vaccine pricing, including Medicare payment allowances and effective dates.

Visit the CMS Vaccine Pricing webpage to get 2026–2027 seasonal influenza and COVID-19 vaccine pricing, including Medicare payment allowances and effective dates.

Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…

This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.

This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.