Part B

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Utilization of modifier 76: Repeat procedures

Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same day. Appropriate usage

MLN Connects for May 29, 2025

This edition includes information on the Medicare Shared Savings Program, providers accepting CHAMPVA, national coverage determination 20.36, and more.

MLN Connects for May 29, 2025

This edition includes information on the Medicare Shared Savings Program, providers accepting CHAMPVA, national coverage determination 20.36, and more.

Cardiac and pulmonary rehabilitation programs

Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR) programs if specific criteria are met. This criterion includes coverage…

Departments of Labor, Health and Human Services, Treasury Announce Move to Strengthen Healthcare Price Transparency

Trump administration issues request for information, guidance to expand access to real prices.

Departments of Labor, Health and Human Services, Treasury Announce Move to Strengthen Healthcare Price Transparency

Trump administration issues request for information, guidance to expand access to real prices.

MLN Connects for May 22, 2025

This edition includes information on preventing claim denials for psychiatric care, MPFS July update, skilled nursing facility Part D payments, and more.

MLN Connects for May 22, 2025

This edition includes information on preventing claim denials for psychiatric care, MPFS July update, skilled nursing facility Part D payments, and more.

Behavioral health services

Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more information, please view this article and share these valuable resources…

EDI Gateway login and password criteria

Help document about the EDI Gateway login ID and resetting password.