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General information regarding proposed LCDs and open meetings.
Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).
Review minutes from the Part A Provider Outreach and Education Advisory Group (POE-AG) meeting for Florida/USVI.
The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the supervision of an individual meeting the…
An updated remittance advice remark code (RARC) and claim adjustment reason code (CARC) “Codes.ini” file is now available for download.
Providers must use the patient’s Medicare Beneficiary ID (MBI) for all transactions.
Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary payer (MSP) claims.
Read this article for important billing information for outpatient infusion and hydration services.
Complete review of the eligibility feature in SPOT.
Learn more about billing Medicare for prolonged nursing facility E/M services exceeding the maximum time by at least 15 minutes on the date of service.