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Telehealth modifiers should be submitted with distant site telehealth services. Patient must be present and participating in telehealth visit. View guidance in this article on the use of modifiers…

The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the…

The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the…

With daylight saving time beginning, the Provider Contact Center hours of operation will be modified for providers in the U.S. Virgin Islands and Puerto Rico.

With daylight saving time beginning, the Provider Contact Center hours of operation will be modified for providers in the U.S. Virgin Islands and Puerto Rico.

Review this article for information on billing psychotherapy services when performed with evaluation and management and prolonged services.

This edition includes information on postoperative visit reporting, billing for optometry services at nursing facilities, the 2026 CMS Burden Reduction Conference, and more.

This edition includes information on postoperative visit reporting, billing for optometry services at nursing facilities, the 2026 CMS Burden Reduction Conference, and more.

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…