Part B

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).

DHHS authorizes an extension of Medicare fee-for-service (FFS) response to hurricane Helene for the state of Georgia.

DHHS authorizes an extension of Medicare fee-for-service (FFS) response to hurricane Helene for the state of Georgia.

This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.

This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.

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…

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.

Here are payment allowances for ambulance services for services provided January 1-December 31, 2024.

Here are payment allowances for ambulance services for services provided January 1-December 31, 2024.

This edition includes information on a new model to target wasteful, inappropriate services in Original Medicare, CY 2026 proposed rules for ESRD and home health, revalidation deadline for skilled…