Billing

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Recommendations regarding the development of a model compliance plan for clinical laboratories

The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…

Recommendations regarding the development of a model compliance plan for clinical laboratories

The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…

Skilled nursing facility sequential billing

Read this article to learn more about skilled nursing facility (SNF) sequential billing.

Skilled nursing facility (SNF) no-payment claims

Read this article to learn more about billing skilled nursing facility (SNF) no-pay claims.

Same day transfers

Read this article to learn more about billing a same day transfer claim.

Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder

The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services. Please read this article and access the link within the article for…

Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing

Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.

Qualifying stay edit C7123

Read this article to learn more about skilled nursing facility (SNF) qualifying stay edit C7123.

Billing the correct Medicare secondary payer insurance type code

Do you want to know how to avoid MSP claims payment delays and inappropriate denials?

Part A inpatient date of service reporting and split billing

This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.