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Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when another payer is responsible for payment and is not expected to pay promptly (i.e., within 120 days). This artic…
View this article for instructions on how and when to use modifier 91.
Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request claims on 837 institutional claims, and the use of occurrence code (OC) 24 and date of denial.
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
Read this article to learn more about appropriately billing Part A drugs.
For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.
For Part A providers with multiple facility PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.
View targeted probe and educate (TPE) round one results for surgical services: endovascular revascularization (open or percutaneous, transcatheter) procedures CPT 37229 from October 2021 - April 2022.
View targeted probe and educate (TPE) round one results for rehabilitation services.
View targeted probe and educate (TPE) for surgical services - cataract extraction (CPT 66982-66984).