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This area focuses on identification of aberrancies or patterns of inappropriate billing, educating providers on Medicare coverage and coding requirements, and performing medical review of claims and supporting documentation.
Find news about local and national coverage determinations, learn how to search the Medicare coverage database, use the procedure/diagnosis code lookup tool, and review clinical trials.
This edition includes information on a proposed physician payment rule.
This edition includes information on quarterly credit balance reports, preventing claim denials for immunosuppressive drugs, CHAMPVA policy on weight loss medications, and more.
This edition includes information on preventing claim denials for hip and knee replacements; PrEP for HIV billing, revised information on Medicare diabetes self-management training, and more.
This edition includes information on final rules, expanded diabetes screening, discarded drugs and biologicals HCPCS codes, and more.
This edition includes information on physician residency position, National Rural Health Day, Medicare preventive services, and more.