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The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same for assigned and non-assigned claims. This article shows when these requirements apply.
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…
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…
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,…
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.
This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that experience claim rejections for overlapping dates of service.
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.
Find information on local and national coverage determinations specific to preventive services.
Hospitals: Actions to Make Healthcare Prices Transparent