Billing
Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in this article.
Process for CPT category III T codes
Avoid negative impacts to your claims by providing the medical records for the T codes claim submissions indicated in this article. Code list last updated July 11.
Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in this article.
Process for CPT category III T codes
Avoid negative impacts to your claims by providing the medical records for the T codes claim submissions indicated in this article. Code list last updated July 11.
Intensive outpatient program (IOP) billing requirements for institutional services
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing…
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…
Requesting a comparative billing report -- Part B providers
Complete review of the Retrieve Documents feature in SPOT.
Unsolicited / voluntary refunds notification for calendar year (CY) 2024
View this notification regarding unsolicited / voluntary refunds.
MSP billing and coding
Read this article for more information on billing and coding your claims when Medicare is the secondary payer.
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…