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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.
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.
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.
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.…
Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and excessive muscle contractions, such as dystonia, spasms, and twitches.
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon specific situational criteria. The informat…
View the most recent articles released by CMS.