Articles

Learn what documentation to include when submitting a Medicare Part B appeals request.

This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.

This gives you a brief overview of the outpatient prospective payment system reimbursement.

This defines the criteria for an outlier case and how it is computed.

To reduce provider burden, certain contractor priced HCPCS codes no longer require a paper invoice.

When the invoice information...

This is a brief overview of the reimbursement for LTCH PPS.

This gives you a brief overview of the inpatient prospective payment system for acute care hospitals

View these guidelines regarding what it means for a service to be "reasonable and necessary."

The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer...

The CAC is used to supplement the MAC’s internal expertise and to ensure an unbiased and contemporary consideration of “state of...