Billing
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.
Dental services coverage
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this article guides you through recently clarified payment provisions for dental…
Dental services coverage
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this article guides you through recently clarified payment provisions for dental…
Intensive outpatient program (IOP) billing requirements for institutional services
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing…
COVID-19 vaccine and monoclonal antibody billing for Part B providers
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
Skilled nursing facility (SNF) leave of absence
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon…
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original…
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon…
New global surgery calculator
Counting 10- or 90-day global periods manually? Our new global surgery calculator quickly determines the global period end date for surgical procedures. Simply enter the procedure date to obtain…