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Read the below article for more information on MSP ongoing responsibility for medicals.
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.
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…
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…
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency department visits TPE round results.
This edition includes information on preventing claim denials for hip and knee replacements; PrEP for HIV billing, revised information on Medicare diabetes self-management training, and more.
This edition includes information on final rules, expanded diabetes screening, discarded drugs and biologicals HCPCS codes, and more.