DME A/B MAC general documentation requirements collaborative webinar
Join our DME A/B MAC collaborative webinar related to Medicare's criteria for documentation requirements on March 18.
Eligibility elimination from the IVR
The option to obtain patient eligibility information from the interactive voice response (IVR) system was eliminated on December...
Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug...
PC-ACE user guide index
Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.
Method II critical access hospital: Professional billing requirements for emergency department services
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04...
MLN Connects for January 29, 2026
This edition includes information on PPE & Essential Medicines, DMEPOS, Hospital Price Transparency and more.
Understanding the prior authorization (PA) demonstration for ambulatory surgical center (ASC) services
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.
Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar...
2026 Medicare Participation Physicians/Suppliers Directory now available
The MEDPARD is a comprehensive listing of participating providers and suppliers who have agreed to accept assignment on all...
MLN Connects for January 22, 2026
This edition includes information on E/M and intravitreal injections billing, vagus nerve stimulation NCD, telehealth, and more.