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Pricing has been updated for codes 93241, 93243, 93245, and 93247.
This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.
This table of MLN Matters articles includes articles released by CMS from April to June.
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered) under §1862(a)(1) of the Social Security Act…
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007 to give providers time to submit all method II reassignments to their Part A CAHs promptly. Read further to learn…
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructions to add reassignments.
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
View revised ASC disclosures for dates of service January 1-March 8 and March 9-December 31, 2024.
View these recordings of past in-house webinars, including topics such as understanding LCDs, LCD additions and revisions, the CERT program, and more.
Read this article for information about the CERT C3HUB website.