Billing
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.
Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…
Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…
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…
Skilled nursing facility sequential billing
Read this article to learn more about skilled nursing facility (SNF) sequential billing.
Skilled nursing facility (SNF) no-payment claims
Read this article to learn more about billing skilled nursing facility (SNF) no-pay claims.
Ambulance transport - multiple patients
Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.
Ambulance transport - multiple patients
Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.
Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services. Please read this article and access the link within the article for…