Billing

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Observation services

Review this article for an overview of observation services.

Medicare secondary payer (MSP) billing

Read this article for more information on how to bill claims when Medicare is the secondary payer.

Ambulatory surgical centers (ASC) billing tips

This article provides guidance to support accurate billing for ASC facility claims.

Incomplete colonoscopy billing requirements

CMS established values for incomplete diagnostic and screening colonoscopies under CPT definition of an incomplete colonoscopy where the colonoscopy is advanced past the splenic flexure, but not to…

Incomplete colonoscopy billing requirements

CMS established values for incomplete diagnostic and screening colonoscopies under CPT definition of an incomplete colonoscopy where the colonoscopy is advanced past the splenic flexure, but not to…

Audiology services

Audiology services are defined as hearing and balance assessment services furnished by a qualified audiologist legally authorized to perform under state law (or the state regulatory mechanism…

Audiology services

Audiology services are defined as hearing and balance assessment services furnished by a qualified audiologist legally authorized to perform under state law (or the state regulatory mechanism…

Skilled nursing facility (SNF) benefits exhaust

Read this article to learn more about billing skilled nursing facility (SNF) claims when benefits have exhausted.

Swing beds

Read this article to learn more about swing beds.

Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program

This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.