Part B

This procedure or procedure/modifier combination is not compatible with another procedure or procedure /modifier combination provided on the same day according to the National Correct Coding…

To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.

To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.

To submit a prior authorization request, complete the prior authorization coversheet. Failure to populate every field could result in delays in processing your request, a non-affirmed decision, or a…

To submit a prior authorization request, complete the prior authorization coversheet. Failure to populate every field could result in delays in processing your request, a non-affirmed decision, or a…

CMS has new guidelines for teaching physicians effective January 1, 2022. These updates were implemented February 15, and addressed services in certain primary care centers along with selection of…

CMS has new guidelines for teaching physicians effective January 1, 2022. These updates were implemented February 15, and addressed services in certain primary care centers along with selection of…

This edition includes information on 2025 vaccine administration payment amounts, opioid treatment programs updates, preventing claim denials for infusion pumps, and more.

This edition includes information on 2025 vaccine administration payment amounts, opioid treatment programs updates, preventing claim denials for infusion pumps, and more.

This edition includes information on quarterly credit balance reports, preventing claim denials for immunosuppressive drugs, CHAMPVA policy on weight loss medications, and more.