Billing

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Avoiding MSP claim rejects

Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.

Medicare coverage of driveline kits for ventricular assist devices (VADs)

Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage of driveline kits and to avoid delays when billing VAD supplies.

Public health emergency billing guidance for skilled nursing facilities (SNFs)

CMS allows programmatic waivers for impacted states under Section 1135 of the Social Security Act (SSA) for declared emergencies.

Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers

The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by the appropriate answer and the sources of the information are provided.

Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers

The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by the appropriate answer and the sources of the information are provided.

Potential assignment violations by clinical laboratories

Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment violation. This article outlines Medicare regulations and potential penalties…

Hepatitis C virus (HCV)

Read this article for more information on the hepatitis C virus and treatments covered by Medicare.

Hepatitis C virus (HCV)

Read this article for more information on the hepatitis C virus and treatments covered by Medicare.

Unsolicited / voluntary refunds notification for calendar year (CY) 2025

View this notification regarding unsolicited / voluntary refunds.

Unsolicited / voluntary refunds notification for calendar year (CY) 2025

View this notification regarding unsolicited / voluntary refunds.