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Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly for cosmetic reasons. Functional or reconstructive eyelid surgery is performed to improve abnormal function, re…
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment. The code remains on the Medicare telehealth services list. View this article for details on the new assessment…
The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B MACs, has published a presentation providing you with an overview of the task force purpose, updates on new ed…
CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two phases.
This edition includes information on the CMS rule of phasing out fax machines and snail mail, the April update to the Medicare Part B drug pricing files and revisions, the April update to the hospital outpatient prospective payment system,…
During the COVID-19 public health emergency (PHE), CMS allowed providers to render telehealth services from their home without reporting their home address on their Medicare enrollment while continuing to bill from their currently enrolled…
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit complete and accurate documentation.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Ambulance transports.
CMS recognizes the crucial role health care professionals play in promoting, providing, and educating Medicare patients about potentially life-saving preventive services and screenings. Medicare pays for a full range of preventive services…