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What is fraud and abuse?

Learn the difference between fraud and abuse, recognize common warning signs, and understand your role in preventing improper Medicare billing practices. Review this article for more information.

What is fraud and abuse?

Learn the difference between fraud and abuse, recognize common warning signs, and understand your role in preventing improper Medicare billing practices. Review this article for more information.

Roster billing for Part A

Institutional providers can use roster billing when administering the influenza, pneumococcal, or COVID-19 vaccines, or monoclonal antibody infusions to at least five patients on the same date,…

Physician billing for procedures performed in an ASC

Physicians and practitioners performing services in Medicare-participating ambulatory surgical centers (ASCs) are reporting an incorrect place of service (POS) code.

Inpatient psychiatric hospital benefit days

Medicare provides a lifetime limit of 190 days of inpatient psychiatric hospital care for each beneficiary. Once all 190 days have been used, Medicare will not provide additional coverage for…

Process for CPT category III T codes

Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

Process for CPT category III T codes

Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

Tips to prevent claim adjustment reason code (CARC) CO/PR B7

View tips to prevent this reason code.

Introduction to PC Print

An updated version of PC Print V9.3.2 is now available. Download the updated version of PC-Print today.

PC-ACE upgrade and installation instructions

PC-ACE version 7.1 is now available. Follow these instructions to complete the required quarterly upgrades or the full installation after initial enrollment.