Billing
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…
340B drug payment policy remedy payment for calendar year (CY) 2018 to CY 2022
View information related to the 340B drug payment policy remedy.
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.
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…
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…
Goniotomy procedures performed in conjunction with insertion of a glaucoma drainage device is considered not reasonable and necessary
View this reminder regarding correct reporting of micro or minimally invasive glaucoma surgery (MIGS).
Allowing electronic submission of medically denied cancel claims, reason code 30941
To determine if a claim was medically reviewed, providers should submit the requests correctly.
Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Allowing electronic submission of medically denied cancel claims
To determine if a claim was medically reviewed, providers should submit the requests correctly.
RTP reason code 34963 FAQ
Read this article to learn how to resolve claim rejects for reason code 34963.