Billing

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Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies

Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.

2026 Part B portable x-ray reimbursement rates - response to comments

This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to the final 2026 rates.

Travel allowance for collection of specimens

Read this article to learn more about the travel allowance paid for the collection of specimens.

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.

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection

Read this article for information on billing PrEP for HIV drugs.

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.

2026 influenza, pneumococcal, and hepatitis B vaccine reimbursement

Read this article for information on vaccine fees for calendar year 2026.