Part B

This edition includes information on resources and flexibilities with Hurricane Helene, how to detect breast cancer early, October updates, and more.

This edition includes information on extended telehealth flexibilities, Hympavzi covered under Part B, cervical health, and more.

This edition includes information on extended telehealth flexibilities, Hympavzi covered under Part B, cervical health, and more.

The Claims submission / ERA option allows you to submit electronic claims via batch files and retrieve the electronic reports through TIBCO PartnerExpress.

The Claims submission / ERA option allows you to submit electronic claims via batch files and retrieve the electronic reports through TIBCO PartnerExpress.

Use this decision flowchart to assist in correctly applying the 24 modifier.

Use this decision flowchart to assist in correctly applying the 24 modifier.

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…

This edition includes information on the 2025 ambulance fee schedule, federally qualified health centers, home health consolidated billing, and more.