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This table of MLN Matters articles includes articles released by CMS from October through December.
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a SNF covered stay and medical necessity.
Find the latest Medicare news identified specifically for providers of DME as well as helpful information, tools, and links to CMS resources pertaining to these specialties.
This edition includes information on PrEP for HIV transition of coverage, ESRD revised guidance, telehealth services and billing for place of service 10, and more.
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1, 2025. This article details how to bill for…
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how to properly apply modifiers when these i…
Reserve your spot today! The Medicare Navigator Part B Billing series continues throughout the month of June. Join us to sharpen your skills and submit accurate claims. Upcoming sessions focus on claim compliance requirements and proper cla…
Find the appropriate forms to appeal claim decisions.
Get bragging rights around the office by placing your name alongside others on our honorary Medicare Navigator Notable Wall by earning any of our digital badges.
The CMS sample revalidation letters offer providers the opportunity to see what they can expect to receive when it is time for revalidation or if they didn’t respond to a revalidation request.