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Find information regarding the appeals process, including reopenings, and overpayments. Learn how to appeal Medicare coverage and payment decisions and check status on existing appeals.
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents the level of evaluation and management services (E/M) furnished during a patient’s visit.
View these helpful guides for tips on electronic transactions.
This edition includes information on hospital price transparency, RHC and FQHC care coordination services, ESRD and acute kidney injury dialysis updates, and more.
To address the growing concern over closures of rural hospitals, the Consolidated Appropriations Act of 2021 established REHs as a Medicare provider type. This article provides enrollment details and guidance from CMS.
Read this article for important billing information for outpatient infusion and hydration services.
The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.
An update was made to a Part B issue reflecting pending claims are now finalized and payments started with the May 11 cycle.