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Read this article to learn more about billing a same day transfer claim.
Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applyi…
In this special edition article, CMS stresses the importance of staying informed of all CMS national inpatient hospital policy and national and local coverage determinations regarding making a clinical decision to admit a patient. The artic…
This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.
View this information regarding requests for RHC and FQHC lump sum payments in advance due to COVID-19.
We added a YouTube video on Medical Review best practices to prevent unnecessary “non-response” denials. Let us know what you think by selecting the Like button and don’t forget to subscribe to our YouTube channel. Thanks for watching!
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8).
CMS has issued a final NCD for FDA-approved Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs to prevent HIV infection. Note: Local contractor pricing has been revised for code J0750. Please review the article for current pricing.
Here are payment allowances for ambulance services for services provided January 1 - December 31, 2022.