Read this third quarter edition of the Insider's Guide to learn more about CERT errors for ambulance, chiropractic, and drugs and biological claim reviews.
This edition includes information on manufacturer participation in Medicare drug price negotiation, the Medicare Shared Savings Program application deadline, the ESRD prospective payment system, and more.
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.