Articles

This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form...

A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.

There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance...

This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records...

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

Step 1: Choose your billing method

T...

Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication...

Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.

In response to numerous and continued requests from the ambulance community, the Part A/B Medicare Administrative Contractors...

CMS has approved the following cost report software vendors for the electronic submission of yearly Medicare cost reports.

Review the top denial/partial denial reasons and high-level results of wound debridement (CPT 11042-11045) TPE round results for...