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Clinicians: Are you ordering urological supplies for your patients?
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8).
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.
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original…
Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an inpatient stay.
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.