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Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…
View this notification regarding unsolicited / voluntary refunds.
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by the appropriate answer and the sources of the information are provided.
CMS allows programmatic waivers for impacted states under Section 1135 of the Social Security Act (SSA) for declared emergencies.
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH) patients. This article provides those details.
Read the following article for the most common billing requirements for end-stage renal disease related services.
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing requirements for these new services.
Read these interim billing guidelines for long-term care hospitals.