Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
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Claims adjusted in error due to an issue that affected some professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model
CMS is aware of an issue that occurred on July 26 that affected some 2021-2024 professional claims for the Accountable Care...
Prior authorization (PA) program for certain hospital outpatient department (OPD) services: General documentation requirements
To meet coverage criteria, the patient's medical record must contain documentation that fully supports the medical necessity for...
Quarterly credit balance reports no longer required
Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.
Bill infectious disease panels correctly
First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about...
Ambulance transport - multiple patients
Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.
Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services...