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View these guidelines regarding what it means for a service to be "reasonable and necessary."
The Medicare Navigator Program continues this April with targeted webinars highlighting Part A billing. Gain practical insights, expert guidance, and tools to help you submit Medicare claims with confidence. View upcoming webinars on Part A…
Self-administered drugs
A new issue was added for Part B relating to claims pending in an approved to pay location for an extended period of time.
This edition includes information on required HETS action, nurses' student loan repayment, preventing claim denials for manual wheelchairs, and more.
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have double zeroes as a prefix (00XXXXX) should be provided with those zeroes, followed by the remaining digits. If y…
Access all of our self-service tools here.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for major hip and knee joint replacement or reattachment of lower extremity (DRG 469 and 470) services.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for endovascular cardiac valve replacement and supplement procedure (DRG 266 and 267).
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for psychotherapy services.