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Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy),…
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a procedure or other services with modifier 25.
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.
This edition includes information on the anniversary of the lower cost prescription drug law, seasonal flu vaccine pricing for the 2024-2025 season, increased oropouche virus activity, and more.
This edition includes information on a new model to target wasteful, inappropriate services in Original Medicare, CY 2026 proposed rules for ESRD and home health, revalidation deadline for skilled nursing facilities, and more.
This edition includes information on dementia care, the skilled nursing facility value-based purchasing program, FY 2025 ICD-10-CM diagnosis codes, and more.
This table of MLN Matters articles includes articles released by CMS from July to September.
View targeted probe and educate (TPE) round results drugs and biologicals (HCPCS J1569).
This edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities, and more.
This gives you a brief overview of IRF PPS.