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...
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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...
Physicians: Are you ordering surgical dressings for your patients?
Please review this article from the durable medical equipment (DME) MACs about ordering surgical dressings for your Medicare...
Long term care facility prospective payment system standard versus site neutral payment
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH)...
Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to essential medicines
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to...