Part B

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Modifier 25 flowchart

Use this decision flowchart to assist in correctly applying the 25 modifier.

Fast facts: CERT vaccine and roster billed claims

Read this article to learn more about CERT reviews for vaccine and roster billed claims.

Modifier 25 flowchart

Use this decision flowchart to assist in correctly applying the 25 modifier.

MLN Connects for March 26, 2026

This edition includes information on the CMS rule of phasing out fax machines and snail mail, the April update to the Medicare Part B drug pricing files and revisions, the April update to the…

CERT Task Force: Overview presentation

The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B MACs, has published a presentation providing you with an overview of…

CERT Task Force: Overview presentation

The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B MACs, has published a presentation providing you with an overview of…

Prior authorization (PA) demonstration for certain ambulatory surgical center (ASC) services

CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two…

Blepharoplasty, eyelid surgery, brow lift, and related services

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly for cosmetic reasons. Functional or reconstructive eyelid surgery is…

Blepharoplasty, eyelid surgery, brow lift, and related services

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly for cosmetic reasons. Functional or reconstructive eyelid surgery is…

MLN Connects for March 26, 2026

This edition includes information on the CMS rule of phasing out fax machines and snail mail, the April update to the Medicare Part B drug pricing files and revisions, the April update to the…