Modifier of the Month: Repeat Procedures Modifiers: 76, 77 and 91
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for...
StayConnected: Assessing and Managing Patient Cognitive Needs
The Care Management workshop series supports providers in staying connected with Medicare-covered care coordination services...
MLN Connects for August 28, 2025
This edition includes information on adjusting claims for care coordination services, ICD-10 revisions to NCDs, HCPCS...
Fast facts: CERT administrative relief during a disaster
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and...
Medical documentation checklists
Use the links on the left to access checklists to ensure you have met medical documentation requirements based on specific...
HETS - EDI enrollment tool
Providers may utilize this tool attest to their relationship with a third-party entity for conducting 270/271 eligibility...
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X...
Temporarily deactivating reason codes 31006 and 31007 for CAH method II claims
Read this article for important information for method II CAH facilities receiving reason codes 31006 and 31007.
MLN Connects for August 21, 2025
This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care...