Billing
Conditional payment requests for MSP claims
Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when another payer is responsible for payment and is not expected to pay…
340B drug payment policy remedy payment for calendar year (CY) 2018 to CY 2022
View information related to the 340B drug payment policy remedy.
Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease
Effective July 2, Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the…
Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease
Effective July 2, Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the…
Allowing electronic submission of medically denied cancel claims, reason code 30941
To determine if a claim was medically reviewed, providers should submit the requests correctly.
Allowing electronic submission of medically denied cancel claims
To determine if a claim was medically reviewed, providers should submit the requests correctly.
RTP reason code 34963 FAQ
Read this article to learn how to resolve claim rejects for reason code 34963.
Multiple procedure payment reduction on the professional component and technical component of certain diagnostic imaging procedures
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Find out the details here.
Payment of codes for chemotherapy administration and nonchemotherapy injections and infusion
CMS provided clarification regarding the Medicare guidance relating to complex administration CPT codes 96401-96549. Please read this article for more information.
Payment of codes for chemotherapy administration and nonchemotherapy injections and infusion
CMS provided clarification regarding the Medicare guidance relating to complex administration CPT codes 96401-96549. Please read this article for more information.