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Appeal tips: Documentation to include with your Part B redetermination request

December 23, 2025
Learn what documentation to include when submitting a Medicare Part B appeals request.

Understanding clinical trials and device coverage

December 23, 2025
Clinical trials background What regulatory guidance addresses devices and clinical trials in the Medicare program? 

Transcatheter aortic valve replacement (TAVR)

December 23, 2025
Important information notifying users of the requirements for approval of transcatheter aortic valve replacement (TAVR) studies.

Positron emission tomography (PET) for oncologic conditions: Modifier usage

December 23, 2025
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.

Claims and appeals for CPT 93010 performed in emergency room setting

December 23, 2025
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.

Modifier 53 fact sheet

December 23, 2025
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying this modifier.

Medicare providers and suppliers must report managing employees

December 23, 2025
Is the managing employee section current on your enrollment record? All existing Medicare providers and suppliers must report all current managing employees on their Medicare enrollment record to avoid having that enrollment deactivated.

Appropriate use of not otherwise classified codes when billing drugs and biologicals

December 23, 2025
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not available. Review this article for proper use…

Common definitions for claim submission types

December 23, 2025
See common definitions for claim submission types that may impact your billing.

Appropriate drug billing Part B

December 23, 2025
Read this article to learn more about appropriately billing Part B drugs.
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