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Tips to prevent RUC CO 16

March 13, 2026
Read this article for tips on how to prevent RUC CO 16.

Florida and U.S. Virgin Islands Part A POE-AG minutes - November 11, 2025

March 13, 2026
View this review of the November JN Part A POE AG meeting.

TIBCO Connectivity Guide

March 13, 2026
This guide provides important tips for configuring your SFTP file.

Checklist: Clinical laboratory

March 17, 2026
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to clinical laboratory services. Health care providers retain responsibility to submit complet…

End-stage renal disease (ESRD)

March 17, 2026
Information pertaining to end-stage renal disease, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.

Modifier 58 flowchart

March 17, 2026
Use this decision flowchart to assist in correctly applying the 58 modifier.

Modifier 78 flowchart

March 17, 2026
Use this decision flowchart to assist in correctly applying the 78 modifier.

Ambulatory surgical center (ASC) pass-through devices

March 17, 2026
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center (ASC).

Modifiers applicable to ambulatory surgical centers (ASCs)

March 17, 2026
Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific to ASCs. This article explores these modifiers.

New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

March 17, 2026
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1, 2025. This article details how to bill for…
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