Billing

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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. Please read this article and access the link within the article for…

Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing

Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.

Skilled nursing facility (SNF) demand bill

Read this article to learn more about skilled nursing facility (SNF) demand billing.

Qualifying stay edit C7123

Read this article to learn more about skilled nursing facility (SNF) qualifying stay edit C7123.

Skilled nursing facility (SNF) leave of absence

Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.

Billing the correct Medicare secondary payer insurance type code

Do you want to know how to avoid MSP claims payment delays and inappropriate denials?

Part A inpatient date of service reporting and split billing

This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.

Avoid claim processing delays when billing tetanus vaccinations

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Avoid claim processing delays when billing tetanus vaccinations

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Medicare deductible, coinsurance, and premium rates

CMS has issued the 2025 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee-for-service program. This page also contains related information for the…