Billing
Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment violation. This article outlines Medicare regulations and potential penalties…
Clinicians: Are you ordering oxygen for your patients?
Please review this article from the durable medical equipment (DME) MACs about ordering oxygen for your Medicare patients.
Physicians: Are you ordering DMEPOS for your patients?
Please review this article from the durable medical equipment (DME) MAC about ordering durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) for your Medicare patients.
Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…
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…
Physicians: Are you ordering external breast prostheses and supplies for your patient?
Please review this article from the durable medical equipment (DME) MACs about ordering external breast prostheses and supplies for your Medicare patients.
Skilled nursing facility sequential billing
Read this article to learn more about skilled nursing facility (SNF) sequential billing.
Practitioners: Are you ordering spinal orthoses for your patients?
The durable medical equipment (DME) MACs are providing helpful guidance to assist the supplier in providing a spinal orthosis to your patient. Medicare must be able to verify that there is supporting…
Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…
Skilled nursing facility (SNF) no-payment claims
Read this article to learn more about billing skilled nursing facility (SNF) no-pay claims.