Claims and appeals for CPT 93010 performed in emergency room setting
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.
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Advance payment – Part B only
View this article for information about Part B advance payment submissions.
Positron emission tomography (PET) for oncologic conditions: Modifier usage
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this...
Transcatheter aortic valve replacement (TAVR)
Important information notifying users of the requirements for approval of transcatheter aortic valve replacement (TAVR) studies.
Billing and coding of routine costs
View these billing and coding instructions of routine costs for qualifying clinical trials.
Understanding clinical trials and device coverage
Clinical trials background
What regulatory guidance addresses devices and clinical trials in the Medicare program?
For guidance...
Appealing new patient denials
Learn how to submit an appeal for evaluation and management services denials because the new patient did not meet new patient...
New Part A Medicare redetermination and clerical error reopening request form available now
Make sure to access our new and improved form which simplifies the submission of your Part A redeterminations.
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
New Part B Medicare redetermination and clerical error reopening request form
Make sure to access our new and improved form to submit for your Part B redeterminations.