Part B
Limitation of recoupment process (Medicare Modernization Act [MMA] 935)
Read this article to learn more about the 935 recoupment process.
Appropriate use of assistant at surgery modifiers and payment indicators
Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).
Renewal of resources and flexibilities to assist with the public health emergency in the state of Georgia in response to hurricane Helene
DHHS authorizes an extension of Medicare fee-for-service (FFS) response to hurricane Helene for the state of Georgia.
Renewal of resources and flexibilities to assist with the public health emergency in the state of Georgia in response to hurricane Helene
DHHS authorizes an extension of Medicare fee-for-service (FFS) response to hurricane Helene for the state of Georgia.
MLN Connects for July 10, 2025
This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.
MLN Connects for July 10, 2025
This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…
Good cause for extension of the time limit for filing appeals
The time limit for filing a request for redetermination may be extended in certain situations. Good cause may be found when the record clearly shows, or the provider, physician or other supplier…
Modifier 53 fact sheet
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.