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On-demand learning: Specialty services

April 28, 2026
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology services, understanding psychotherapy, and more.

On-demand learning: Medical review & prior authorizations

April 28, 2026
View these recordings of past in-house webinars, including topics such as understanding LCDs, LCD additions and revisions, the CERT program, and more.

Hospice: New requirement for physicians who certify patient eligibility

April 28, 2026
Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or later.

Education spotlight

April 28, 2026

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.

Current processing issues

April 28, 2026
These tables display processing issues that are being worked currently or have been resolved recently.

Therapy modifiers

April 28, 2026
Specific guidelines apply to proper application of therapy modifiers to indicate therapy discipline of plan of care.

Inpatient hospital entitlement changes

April 28, 2026
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.

Cardiology

April 28, 2026
Find the latest Medicare news identified specifically for providers of cardiology services as well as helpful information, tools, and links to CMS resources pertaining to this specialty.

HETS-EDI enrollment tool user guide

April 28, 2026
As announced by CMS on April 23, providers using a third-party vendor to conduct their beneficiary eligibility transactions must attest to their relationship via the HIPAA Eligibility Transaction System (HETS) EDI Enrollment Tool by May 11.…
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