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This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.
View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated April 8.
Find information on local and national coverage determinations specific to preventive services.
Read this article for helpful information to report the national drug code on claims.
Do you find it challenging to identify a Medicare coverage policy concerning a particular item or service? Not sure what to do if a Medicare coverage policy doesn’t exist? A new FastTrack to Medicare Coverage Policies tool is now available…
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837 electronic claim. This article the steps to complete this process.
Read this document to learn how to change your address using the 855I enrollment application.
Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain an understanding of the criteria necessary…