Billing
Ambulance billing guide
View this ambulance billing guide to learn about the Part A and Part B requirements for claims, billing, and more.
Ambulance billing guide
View this ambulance billing guide to learn about the Part A and Part B requirements for claims, billing, and more.
MSP and conditional payment request claim filing guidelines
Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request claims on 837 institutional claims, and the use of occurrence code (OC)…
Screening for Medicare secondary payer
Read this article for an example of questions to ask a patient to determine if Medicare is the primary claim payer.
Correct reporting of MSP type on electronic claims
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
Requesting Medicare secondary payer conditional payments
Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under the condition they are subject to repayment if and when the primary…
Multiple procedure payment reduction on the professional component and technical component of certain diagnostic imaging procedures
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Find out the details here.
Inpatient psychiatric facility (IPF) benefits exhaust
Inpatient psychiatric facility (IPF) benefits exhaust occurs when no benefit days remain in the beneficiary's applicable benefit period or when the beneficiary has exhausted the 190-day lifetime…
Physician billing for procedures performed in an ASC
Physicians and practitioners performing services in Medicare-participating ambulatory surgical centers (ASCs) are reporting an incorrect place of service (POS) code.
Roster billing for Part A
Institutional providers can use roster billing when administering the influenza, pneumococcal, or COVID-19 vaccines, or monoclonal antibody infusions to at least five patients on the same date,…