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Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this article for tips on proper code submissions.
Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid claim denials and future appeals due to incorrect claim submissions by properly applying modifier 50 when these in…
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a modifier be reported. Avoid claim denials or appeals due to incorrect claim submissions by properly applying anatom…
Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under the condition they are subject to repayment if and when the primary payer makes payment.
View this article for instructions on how and when to use modifier 91.
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.
View targeted probe and educate (TPE) round one results for surgical services: endovascular revascularization (open or percutaneous, transcatheter) procedures CPT 37229 from October 2021 - April 2022.
View targeted probe and educate (TPE) round one results for rehabilitation services.
View targeted probe and educate (TPE) for surgical services - cataract extraction (CPT 66982-66984).