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Postoperative co-management -- modifiers 54 and 55

December 23, 2025
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how to properly apply modifiers when these i…

SafeGuard Services LLC selected as unified program integrity contractor for southeastern jurisdiction

December 23, 2025
SafeGuard Services LLC (SGS) is responsible for combating and preventing fraud, waste, and abuse in the southeastern jurisdiction, which includes Alabama, Florida, Georgia, North Carolina, Puerto Rico, South Carolina, Tennessee, the U.S. Vi…

Modifier 73 fact sheet

December 23, 2025
Use modifier 73 to report discontinued outpatient or hospital ambulatory surgical center (ASC) procedure prior to the administration of anesthesia.

Outpatient prospective payment system (OPPS) for hospitals and community mental health centers (CMHCs)

December 23, 2025
This gives you a brief overview of the outpatient prospective payment system reimbursement.

All inclusive payment for rural health clinics and federally qualified health centers

December 23, 2025
This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.

Current and past fiscal year (FY) federal rates

December 23, 2025
View this article regarding payment changes for Medicare discharges.

ESRD low volume adjustments CY 2021

December 23, 2025
View this article for information regarding the ESRD payment changes for Medicare discharges on or after January 1, 2021.

Temporary changes to IPPS low volume payment adjustments

December 23, 2025
The temporary changes to the low-volume hospital payment adjustment originally provided by the Affordable Care Act, and extended by subsequent legislation, which expanded the definition of a low-volume hospital and modified the methodolo

Accelerated payment – Part A only

December 23, 2025
View this article for information about submissions for Part A accelerated payments.

Election of cost reimbursement for CRNA services

December 23, 2025
This provides information about submitting election of cost reimbursement for CRNA services for rural and CAH hospitals.
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