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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.
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),…
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.
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 edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities, and more.
View targeted probe and educate (TPE) round results drugs and biologicals (HCPCS J1569).
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for chemotherapy, drugs, biologicals, and injection services.
There could be several reasons why your claim was denied or otherwise did not process successfully. Use these available resources to identify claims processing codes.
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this article guides you through recently clarified payment provisions for dental services in 2023, the provider enrollment…