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Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)

View TPE round results for psychotherapy services.

Mandatory self-service clerical error reopening requests

Effective October 1 for all JN providers, Part B clerical error reopening (CERs) requests must be submitted using the SPOT Portal, the Reopening Gateway or the Interactive Voice Response (IVR) system…

Cruising through the CERT claim review process

The Comprehensive Error Rate Testing (CERT) program monitors and reports the accuracy of Medicare fee-for-service (FFS) payments. Read this article for helpful information and resources that can help…

Cruising through the CERT claim review process

The Comprehensive Error Rate Testing (CERT) program monitors and reports the accuracy of Medicare fee-for-service (FFS) payments. Read this article for helpful information and resources that can help…

MLN Connects for August 27, 2026

This edition includes information on dermatologists billing for E/M services and minor surgical procedures, 2027 hospice payments update, October updates, and more.

MLN Connects for August 27, 2026

This edition includes information on dermatologists billing for E/M services and minor surgical procedures, 2027 hospice payments update, October updates, and more.

Anatomical modifiers

Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require that a modifier be reported. Avoid claim denials or appeals due to incorrect…

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.

MLN Connects for August 20, 2026

This edition includes information on Encelto cell gene therapy drug billing guidance, understanding telehealth and teleradiology enrollment, upcoming events, and more.