Latest updates

This edition includes information on payments to intermittent urinary catheter suppliers, preventing claim denials for surgical dressings, an April update to the home health prospective payment…

This edition includes information on payments to intermittent urinary catheter suppliers, preventing claim denials for surgical dressings, an April update to the home health prospective payment…

Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical…

This page contains a list of current payment indicators (PI) for procedures provided in an ambulatory surgical center (ASC) as well as a link to the addenda on CMS.gov for previous years.

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

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…

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.