Billing

Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under the condition they are subject to repayment if and when the primary…

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.

This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.

Read this article for an example of questions to ask a patient to determine if Medicare is the primary claim payer.

Inpatient psychiatric facility (IPF) benefits exhaust occurs when no benefit days remain in the beneficiary's applicable benefit period or when the beneficiary has exhausted the 190-day lifetime…

This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.

Physicians and practitioners performing services in Medicare-participating ambulatory surgical centers (ASCs) are reporting an incorrect place of service (POS) code.

Institutional providers can use roster billing when administering the influenza, pneumococcal, or COVID-19 vaccines, or monoclonal antibody infusions to at least five patients on the same date,…

Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.