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Prolonged physician services: Home or residence visits

December 23, 2025
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Skilled nursing facility (SNF) 5-claim probe and educate (P&E) round results

December 23, 2025
View this article to view the results for the SNF 5-claim probe and educate (P&E).

Medicare secondary payer (MSP): Medicare as the tertiary payer

December 23, 2025
Read this article for billing guidelines when Medicare is the tertiary payer.

Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)

December 23, 2025
Read the below article for more information on MSP ongoing responsibility for medicals.

Learn how to determine when Medicare is the primary or secondary payer

December 23, 2025
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon specific situational criteria. The informat…

Online enrollment -- using internet-based PECOS

December 23, 2025
Learn more about the internet-based PECOS and how it facilitates the Medicare provider enrollment process by furnishing health care providers and suppliers with an easier, faster, and more efficient alternative to paper-based enrollment in…

Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)

December 23, 2025
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.

ADR (Additional documentation requests)

December 23, 2025
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.

Understanding the credit balance report

December 23, 2025
Review the following questions and answers to gain an understanding of credit balance reporting.

Targeted probe and educate (TPE) round results: Major hip and knee replacement (DRG 470)

December 23, 2025
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
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