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This information outlines the process for the 935 recoupment.
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of “always therapy” services, regardless of the type of provider or supplier furnishing the services. Find out the…
CMS provided clarification regarding the Medicare guidance relating to complex administration CPT codes 96401-96549. Please read this article for more information.
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
View these current post-payment service-specific reviews and available results.
Service-specific reviews
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.
Read this article for more information on contacting the MSP Contractor.