Billing

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Annual wellness visits (AWVs)

Medicare Part B covers annual wellness visits (AWVs) and other related services for qualifying beneficiaries. Learn more about these covered preventive services.

Advanced care planning (ACP)

Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.

Processing of Medicare Secondary Payer (MSP) claims

Read this article for an important change to MSP claim processing.

What physicians need to know: home health patient-driven groupings model (PDGM)

In November 2018, the CMS finalized a new case-mix classification model, the PDGM, effective beginning January 1, 2020. The PDGM relies more heavily on clinical characteristics and other patient…

Clinicians: Are you ordering diabetic shoes for your patients? – Revised

Please review this article from the durable medical equipment (DME) MACs about ordering diabetic shoes for your patients.

Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to essential medicines

In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to essential Medicines. Read this article to learn more.

Counting units for therapy codes

Read this article to learn how to count units to properly bill therapy HCPCS codes.

Long term care facility prospective payment system standard versus site neutral payment

For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH) patients. This article provides those details.

End-stage renal disease (ESRD) monthly capitation payment (MCP) claims

Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these claims.

Physicians: Are you ordering surgical dressings for your patients?

Please review this article from the durable medical equipment (DME) MACs about ordering surgical dressings for your Medicare patients.