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This edition includes information on the clinical lab fee schedule, chronic care management, hospice claims billed by terminated hospices, and more.

This edition includes information on the clinical lab fee schedule, chronic care management, hospice claims billed by terminated hospices, and more.

View this special edition regarding 2026 Medicare participation and the 2026 home health prospective payment system final rule.

View this special edition regarding 2026 Medicare participation and the 2026 home health prospective payment system final rule.

Read this article for tips on how to prevent reject reason code C7010.

Read this article for tips on how to prevent reject reason code U5233.

Read this article for tips on how to prevent reject reason code 34538.

Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.

Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim…

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form expiration, and more.