Part B
Split or shared E/M guidelines: Medicare Claims Processing Manual updates
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
Split or shared E/M guidelines: Medicare Claims Processing Manual updates
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
Fee schedule par, nonpar, and limiting charge explanation
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
Fee schedule par, nonpar, and limiting charge explanation
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
Differences between fee schedule file types
This article explains the differences between the First Coast Part B fee schedule lookup, PDF files, and zipped text files.
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims. If the claim was billed and paid correctly, the CERT review contractor…