View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).
Learn about various programs which focus on ensuring Medicare compliance. Topics include: Comprehensive error rate testing (CERT), prior authorization, and targeted probe and educate.
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.
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.
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.