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Medicare secondary payer (MSP) billing

March 6, 2026
Read this article for more information on how to bill claims when Medicare is the secondary payer.

Mammography coverage and certification of mammography facilities

May 5, 2026
Read this article for information on mammography coverage and certification of mammography facilities.

Medicare secondary payer (MSP) Contractor (formerly Benefits Coordination and Recovery Center [BCRC])

May 5, 2026
Read this article for more information on contacting the MSP Contractor.

Prior authorization for ambulance transports is for repetitive transports

May 8, 2026
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks. Repetitive ambulance services are often needed…

Facet joint interventions for pain management

April 13, 2026
Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the paravertebral facet joints. Imaging guidance (fluoroscopy or CT per code descriptor) is used to assure accurate p…

Ambulance physician certification statement

February 25, 2026
Physician certification statements (PCS) are required for patients who are under the direct care of a physician and are required to verify the medical necessity for certain scheduled and unscheduled non-emergency ambulance transports. Read…

PWK option allows you to submit documentation with an initial claim

May 8, 2026
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837 electronic claim. This article details the process for using this option.

New provider roadmap: Electronic data interchange (EDI)

May 6, 2026
Improved cash flow, added security, and reduced administrative costs are just some of the advantages of electronic billing.

Medicare enrollment for ‘mass immunizers’

March 6, 2026
An entity or individual who wishes to furnish mass immunization services - but may not otherwise qualify as a Medicare provider - may be eligible to enroll as a “mass immunizer.”

The SPOT User Guide: Section 3 - Eligibility

February 25, 2026
Complete review of the eligibility feature in SPOT.
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