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View these current post-payment service-specific reviews and available results.
Service-specific reviews
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.
View this article to view the results for the SNF 5-claim probe and educate (P&E).
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.
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.
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…
Learn more about the internet-based PECOS and how it facilitates the Medicare provider enrollment process by furnishing health care providers and suppliers with an easier, faster, and more efficient alternative to paper-based enrollment in…