Billing
Unsolicited / voluntary refunds notification for calendar year (CY) 2025
View this notification regarding unsolicited / voluntary refunds.
A Prescriber’s Guide to Medicare Prescription Drug (Part D) Opioid Policies - Revised
CMS recently added information on the opioid treatment programs (OTPs) and the medication-assisted treatment for opioid use disorder (OUD). Learn what’s changed.
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…
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…
Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in this article.
Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in this article.
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…
Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.
Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.