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.
This edition includes information on the CMS IDea challenge, COVID-19 vaccine pricing for 2025-2026, preventing claim denials for orthopedic footwear, and more.
Care management services are covered under the Medicare program. View information regarding care management services, including links to related CMS resources and references.
This edition includes information on April updates to the Medicare Physician Fee Schedule, vaccine administration national fee schedule, and other updates.
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.