COVID-19 vaccine and monoclonal antibody billing for Part A providers
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
Develop and implement a compliance program
A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.
Part B provider enrollment reconsideration requests
CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new...
Revalidation overview
Read this article for information on Medicare revalidation.
Sole owner revalidations
Read this article for information on an important change to the Provider Enrollment Revalidation process for sole owner groups.
Avoid claim processing delays when billing tetanus vaccinations
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus...
Part A inpatient date of service reporting and split billing
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.
How to use modifiers to indicate the status of an ABN
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether...
2023 pneumococcal and influenza virus vaccine administration
This article discusses payment information for pneumococcal and influenza virus vaccine administration for 2023.
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...