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Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
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Spotlight
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.
View these recordings of past in-house webinars, including topics such as understanding LCDs, LCD additions and revisions, the CERT program, and more.
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.
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.
These tables display processing issues that are being worked currently or have been resolved recently.
Specific guidelines apply to proper application of therapy modifiers to indicate therapy discipline of plan of care.