Effective May 11, CMS requires that 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. Follow…
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
This special edition includes information on the 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System final rule.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through March 8, 2024.