Billing

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Fast facts: Education on CERT error

This article provides insights into the educational initiatives implemented following the assessment of a CERT error.

Part A outpatient infusion and hydration services

Read this article for important billing information for outpatient infusion and hydration services.

POS 19 added for preventive, CR, and ICR services

Change request (CR) 14070, effective June 23, 2025, reflects the addition of POS 19 allowed for preventive services, CR, and ICR services.

Behavioral health services

Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more information, please view this article and share these valuable resources…

Clinicians: Are you ordering urological supplies for your patients?

Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8).

Reporting manifestation diagnosis codes

The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.

Advanced care planning (ACP)

Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.

Advanced care planning (ACP)

Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.

End-stage renal disease (ESRD) monthly capitation payment (MCP) claims

Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these claims.

Long term care facility prospective payment system standard versus site neutral payment

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