Screening for hepatitis C virus National Coverage Determination
CMS clarified billing requirements for the screening for hepatitis C virus in adults.
Medical nutrition therapy and diabetes self-management training coverage and billing requirements
Read this article for billing requirements for medical nutrition therapy (MNT) and diabetes self-management training (DSMT)...
Medically necessary services and prior authorization
For any service or item to be covered by Medicare, it must be eligible for a defined Medicare benefit category, be reasonable...
Quick reference chart for Medicare Secondary Payer (MSP) claims
Review this chart for information on submitting accurate MSP claims.
Crossover claims: Supplemental insurance and Medigap plans
Read this article for more information on claims being crossed over to supplemental insurance and Medigap plans.
Patients purchasing their own drugs or biologicals (brown bagging)
Medicare provides limited benefits for outpatient drugs. Drugs and/or biologicals purchased by the patient and taken to their...
Medicare eligibility and entitlement
Read this article for more information on Medicare eligibility and general information on the Medicare programs.
MLN Connects for June 11, 2026
This edition includes information on the Medicare Shared Savings Program, updates to opioid treatment programs, 2027 ICD-10 code...
How anesthesia reimbursement is calculated
View this article when looking for information regarding anesthesia reimbursement.