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Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of “always therapy” services, regardless of the type of provider or supplier furnishing the services. Find out the…
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to the instructions.
Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same for assigned and non-assigned claims. This article shows when these requirements apply.
Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary payer (MSP) claims.
Read this article for more information on how to bill claims when Medicare is the secondary payer.
Read this article for information on mammography coverage and certification of mammography facilities.
Read this article for more information on contacting the MSP Contractor.
Reduce the time it takes to answer your Medicare question by viewing common Part A inquiries received by customer service.