Prolonged physician services: Office and other outpatient visits
Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at...
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Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...
Prolonged physician services: Home or residence visits
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15...
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.
Drugs and biologicals Part B: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single...
Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.
SNF overlap
You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits...
Indicating an anti-markup diagnostic service on a claim
Question and answer regarding the indication of an anti-markup diagnostic service on a claim.
E/M services furnished by a non-physician practitioner incident to a physician's service
Medicare pays for services and supplies that are furnished incident to a physician’s or other practitioner’s services, are...
Part B fact sheet: Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment...