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This gives you the acceptance and denial criteria for a reopening.
This says that the wage indexes are updated annually, based on a survey of wages and wage-related costs of short-term acute hospital cost reports.
CMS has issued guidance on Medicare’s longstanding policy on Medicare-Medicaid bad debts claimed on a cost report for dual-eligible beneficiaries.
This pertains to submitting SSI ratio realignment requests to First Coast.
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All other physicians who perform an initial evaluation on this patient bill without modifier "-AI" to indicate specialty…
This edition includes information on a proposed physician payment rule.
Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this article for tips on proper code submissions.
Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid claim denials and future appeals due to incorrect claim submissions by properly applying modifier 50 when these in…
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a modifier be reported. Avoid claim denials or appeals due to incorrect claim submissions by properly applying anatom…
Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under the condition they are subject to repayment if and when the primary payer makes payment.