Behavioral health services
Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more...
Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to essential medicines
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to...
Long term care facility prospective payment system standard versus site neutral payment
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH)...
Physicians: Are you ordering surgical dressings for your patients?
Please review this article from the durable medical equipment (DME) MACs about ordering surgical dressings for your Medicare...
What physicians need to know: home health patient-driven groupings model (PDGM)
In November 2018, the CMS finalized a new case-mix classification model, the PDGM, effective beginning January 1, 2020. The PDGM...
End-stage renal disease (ESRD) monthly capitation payment (MCP) claims
Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these...
Practitioners: Are you ordering ankle-foot and knee-ankle-foot orthoses (AFO/KAFO) for your patients?
Please review this article from the durable medical equipment (DME) MAC about ordering ankle foot and knee ankle foot orthoses...
Clinicians: Are you ordering PAP devices and related accessories for your patients?
Medicare can make payment for positive airway pressure (PAP) devices and related accessories. Review this article for...
NCD 110.24: Chimeric Antigen Receptor (CAR) T-cell therapy
Effective for dates of service on or after August 7, 2019, Medicare will pay claims from approved providers for administration...