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This edition includes information on administration acts to improve access to kidney transplants, July MPFS database update, diabetic shoes claims, and more.
A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.
View this information regarding excluded self-administered injectable drugs.
Find resources to assist with ICD-10 compliance as well as CPT and HCPCS information.
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Find out the details here.
View pricing for two new codes for administration of nirsevimab for RSV infection.
View this special edition regarding a claims hold update and an NCCI alert.
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View the most recent updates for our LCDs and articles. A revised article has become effective.
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption would remain in effect for a 12-month peri…