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Guidelines for billing acute inpatient noncovered days

March 3, 2026
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.

Prolonged physician services: Home or residence visits

April 28, 2026
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.

Intensive outpatient program (IOP) billing requirements for institutional services

May 6, 2026
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing requirements for these new services.

Disproportionate share hospital (DSH) adjustment

March 2, 2026
This briefly identifies the two methods used to determine the disproportionate share as well as the supplementary security income updates.

Outpatient prospective payment system (OPPS) for hospitals and community mental health centers (CMHCs)

April 17, 2026
This gives you a brief overview of the outpatient prospective payment system reimbursement.

All inclusive payment for rural health clinics and federally qualified health centers

April 23, 2026
This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.

Electronic submission of supporting documentation

March 24, 2026
This is a list of documents that should be sent in electronic format.

Home office cost statement (HOCS)

April 17, 2026
This indicates that CMS Form-287 or an alternative reporting format may be used to meet the needs of the individual home office cost reporting.

ESRD low volume adjustments CY 2021

April 17, 2026
View this article for information regarding the ESRD payment changes for Medicare discharges on or after January 1, 2021.

Temporary changes to IPPS low volume payment adjustments

April 17, 2026
The temporary changes to the low-volume hospital payment adjustment originally provided by the Affordable Care Act, and extended by subsequent legislation, which expanded the definition of a low-volume hospital and modified the methodolo
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