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Fast facts: Education on CERT error

December 23, 2025
This article provides insights into the educational initiatives implemented following the assessment of a CERT error.

E/M: Reviewing amount and/or complexity of data

December 23, 2025
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test, order, or document contributes to the comb…

Unsolicited / voluntary refunds

December 23, 2025
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.

Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays

December 23, 2025
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…

Unsolicited / voluntary refunds notification for calendar year (CY) 2025

December 23, 2025
View this notification regarding unsolicited / voluntary refunds.

Process for CPT category III T codes

December 23, 2025
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers

December 23, 2025
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.

Medicare coverage of driveline kits for ventricular assist devices (VADs)

January 14, 2026
Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage of driveline kits and to avoid delays when billing VAD supplies.

Travel allowance for collection of specimens

January 23, 2026
Read this article to learn more about the travel allowance paid for the collection of specimens.

2026 Part B portable x-ray reimbursement rates - response to comments

January 29, 2026
This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to the final 2026 rates.
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