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The MEDPARD is a comprehensive listing of participating providers and suppliers who have agreed to accept assignment on all Medicare covered services. Read this article for links to JN directories for Florida, Puerto Rico, and the US Virgin…
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.
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.
This edition includes information on PPE & Essential Medicines, DMEPOS, Hospital Price Transparency and more.
View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.
This edition includes information on skilled nursing facility reporting, the January ASC payment update, and more.
This edition includes information on postoperative visit reporting, billing for optometry services at nursing facilities, the 2026 CMS Burden Reduction Conference, and more.
View this agenda for the March 5 open meeting.
This edition includes information on payments to intermittent urinary catheter suppliers, preventing claim denials for surgical dressings, an April update to the home health prospective payment system grouper, and more.
Top denial/ partial denial reasons and high-level results are listed below from each round of Transitional Care Management (TCM) services TPE reviews that have been conducted thus far by Medical Review.