Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment...
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2026 Part B portable x-ray reimbursement rates - response to comments
This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to...
Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
Please review the revised blood product codes list.
Avoiding MSP claim rejects
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP...
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center...
E/M: Reviewing amount and/or complexity of data
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA...
Hepatitis C virus (HCV)
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.
MSP billing
Read this article for more information on billing your claims when Medicare is the secondary payer.