Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and...
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Skilled nursing facility sequential billing
Read this article to learn more about skilled nursing facility (SNF) sequential billing.
Skilled nursing facility (SNF) no-payment claims
Read this article to learn more about billing skilled nursing facility (SNF) no-pay claims.
New process for pathology, laboratory, skin cell suspension and other codes
Avoid negative impacts to your claims by providing medical records with your initial claim submissions of the codes indicated in...
Practitioners: Are you ordering spinal orthoses for your patients?
The durable medical equipment (DME) MACs are providing helpful guidance to assist the supplier in providing a spinal orthosis to...
Physicians: Are you ordering external breast prostheses and supplies for your patient?
Please review this article from the durable medical equipment (DME) MACs about ordering external breast prostheses and supplies...
Physicians: Are you ordering glucose monitors and supplies for your patients?
Please review this article from the durable medical equipment (DME) MACs about ordering glucose monitors and supplies for your...
Physicians: Are you ordering DMEPOS for your patients?
Please review this article from the durable medical equipment (DME) MAC about ordering durable medical equipment, prosthetics...
End-stage renal disease (ESRD) monthly capitation payment (MCP) claims
Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these...
What physicians need to know: home health patient-driven groupings model (PDGM)
In November 2018, the CMS finalized a new case-mix classification model, the PDGM, effective beginning January 1, 2020. The PDGM...