Ambulatory surgical center
Find the latest Medicare news identified specifically for ASC providers as well as helpful information, tools, and links to CMS...
End stage renal disease (ESRD): Payment for phosphate binders effective January 1
Phosphate binders are paid as a renal dialysis service under Medicare Part B. Read this article to learn more.
Opioid treatment program (OTP)
Find the latest Medicare news identified specifically for opioid treatment programs as well as helpful information, education...
Ophthalmology
Information pertaining to ophthalmology services, including links to LCDs/NCDs, education, CMS IOMs, and other resources.
Telehealth service modifiers
Telehealth modifiers should be submitted with distant site telehealth services. Patient must be present and participating in...
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.
Yes, air ambulance services are payable from hospital to hospital, if it meets medical appropriateness criteria and the transferring hospital does not have adequate facilities to provide the medical services needed by the patient. We will only reimburse to the nearest available medically appropriate facility.
Reference
Telehealth enrollment scenarios
During the COVID-19 public health emergency (PHE), CMS allowed providers to render telehealth services from their home without...
MLN Connects for March 27, 2025
This edition includes information on extension of Medicare provisions, HCPCS codes and clinical laboratory improvement amendment...
Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders
Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted...