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CMS provided clarification regarding the Medicare guidance relating to complex administration CPT codes 96401-96549. Please read this article for more information.
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.
Read this article for more information on contacting the MSP Contractor.
Read this article for billing guidelines when Medicare is the tertiary payer.
Read the below article for more information on MSP ongoing responsibility for medicals.
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon specific situational criteria. The informat…
Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.
Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these claims.
Read this article to learn more about billing skilled nursing facility (SNF) no-pay claims.