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A comprehensive guide to interpreting the CTX segments within the ASC X12N 999 transaction.
This edition includes information on manufacturer participation in Medicare drug price negotiation, the Medicare Shared Savings Program application deadline, the ESRD prospective payment system, and more.
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.
Here are additional educational resources identified specifically for chiropractic services.
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.
Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR) programs if specific criteria are met. This criterion includes coverage provisions for CR, ICR, and PR items and servic…
View recordings of past in-house webinars on topics such as submitting applications, maintaining the enrollment record, successfully completing revalidation, and more.
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology services, understanding psychotherapy, and more.
Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires documentation to support the claim.