JN

This edition includes information on hospital price transparency, RHC and FQHC care coordination services, ESRD and acute kidney injury dialysis updates, and more.

This edition includes information on hospital price transparency, RHC and FQHC care coordination services, ESRD and acute kidney injury dialysis updates, and more.

Read this article for instruction to submit a provider enrollment rebuttal.

Read this article for instruction to submit a provider enrollment rebuttal.

Read this article for information about billing modifier 59.

You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits exhausted, since consolidated billing rules may or may not apply.

Read this article for important billing information for outpatient infusion and hydration services.

Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.

Change request (CR) 14070, effective June 23, 2025, reflects the addition of POS 19 allowed for preventive services, CR, and ICR services.

View these commonly used enrollment terms.