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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.
Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary payer (MSP) claims.
Use this article as a quick reference for billing claims where Medicare is the secondary payer.
Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing instructions detailed within.
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.
Find information on local and national coverage determinations specific to preventive services.
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services. Please read this article and access the link within the article for more information.
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.
Read the below article for more information on MSP ongoing responsibility for medicals.