Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory and pathology code claim submissions...
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Tools & forms: Billing / coding
Use these self-service tools and forms related to billing and coding.
A Prescriber’s Guide to Medicare Prescription Drug (Part D) Opioid Policies - Revised
CMS recently added information on the opioid treatment programs (OTPs) and the medication-assisted treatment for opioid use...
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior...
Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment...
Avoid delays when billing ventricular assist device (VAD) supplies
Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding how to...
Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers
The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by...
Mandatory renewed advance beneficiary notice of non-coverage
ABN Alert: Renewed advance beneficiary notice of non-coverage became mandatory on June 30, 2023
The ABN, Form CMS-R-131, and form...
CMS Beneficiary Notices
Learn about the CMS advance beneficiary notices, including when and which types of notices should be used to inform...