Billing
End-stage renal disease (ESRD) billing requirements
Read the following article for the most common billing requirements for end-stage renal disease related services.
Quick reference chart for billing Medicare secondary payer (MSP) claims
Use this article as a quick reference for billing claims where Medicare is the secondary payer.
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.
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.
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.
Processing of Medicare Secondary Payer (MSP) claims
Read this article for an important change to MSP claim processing.
Counting units for therapy codes
Read this article to learn how to count units to properly bill therapy HCPCS codes.
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.
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.
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.