Billing

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Potential assignment violations by clinical laboratories

Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment violation. This article outlines Medicare regulations and potential penalties…

2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement

Read this article for information on vaccine fees for calendar year 2025.

Medicare deductible and coinsurance

View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program.

Medicare deductible and coinsurance

View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program.

2026 Part B portable x-ray reimbursement rates - response to comments

This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to the final 2026 rates.

Process for CPT category III T codes

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

Process for CPT category III T codes

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

New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1,…

E/M: Reviewing amount and/or complexity of data

For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test,…

E/M: Reviewing amount and/or complexity of data

For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test,…