Billing

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Reciprocal billing and fee-for-time compensation arrangements (formerly locum tenens arrangements)

The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same for assigned and non-assigned claims. This article shows when these…

340B drug payment policy remedy payment for calendar year (CY) 2018 to CY 2022

View information related to the 340B drug payment policy remedy.

Leqembi for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to…

Conditional payment requests for MSP claims

Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when another payer is responsible for payment and is not expected to pay…

Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Effective July 2, Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the…

Reciprocal billing and fee-for-time compensation arrangements (formerly locum tenens arrangements)

The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same for assigned and non-assigned claims. This article shows when these…

Radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer

Read this article to learn more about radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer.

Requesting Medicare secondary payer conditional payments

Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under the condition they are subject to repayment if and when the primary…

Leqembi for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to…

MSP value codes and payer codes

Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary payer (MSP) claims.