Billing

The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by the appropriate answer and the sources of the information are provided.

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) 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.

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.

Use this article as a quick reference for billing claims where Medicare is the secondary payer.

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

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

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

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.

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…