Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage of driveline kits and to avoid delays when billing VAD supplies.
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04, chapter 4, section 250.18.
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH) patients. This article provides those details.
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Find out the details here.
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical necessity for two surgeons may be required…