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Skilled nursing facility sequential billing

December 23, 2025
Read this article to learn more about skilled nursing facility (SNF) sequential billing.

Recommendations regarding the development of a model compliance plan for clinical laboratories

December 23, 2025
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.

Qualifying stay edit C7123

December 23, 2025
Read this article to learn more about skilled nursing facility (SNF) qualifying stay edit C7123.

Skilled nursing facility (SNF) demand bill

December 23, 2025
Read this article to learn more about skilled nursing facility (SNF) demand billing.

Skilled nursing facility (SNF) leave of absence

December 23, 2025
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.

Hepatitis B vaccination

December 23, 2025
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who haven't previously gotten a completed hepati…

Inpatient hospital entitlement changes

December 23, 2025
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.

Same day transfers

December 23, 2025
Read this article to learn more about billing a same day transfer claim.

Clinicians: Are you ordering urological supplies for your patients?

December 23, 2025
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8).

Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder

December 23, 2025
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.
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