Latest Updates

This edition includes information on the PEPPER relaunch, understanding the telehealth enrollment guide, preventing claim denials for tracheostomy supplies, and more.

Read this clarification regarding how radiopharmaceutical payment limits should be interpreted and how providers are expected to bill for these items.

Read this article for information about billing modifier 59.

Keep the momentum going -- navigate Part B post-payment claim scenarios! Attend the Medicare Navigator Part B Billing series and gain the tools to submit compliant redeterminations, correct claims…

This edition includes information on the 2026 National Provider Compliance Conference, services for patients with opioid use disorder, PEPPER updates, and more.

This edition includes information on the 2026 National Provider Compliance Conference, services for patients with opioid use disorder, PEPPER updates, and more.

Your patients may tell you they’re having trouble remembering things, concentrating, or making everyday decisions. Their Medicare Summary Notice highlights that Medicare Part B covers a visit with…

This edition includes information on the Medicare Shared Savings Program, updates to opioid treatment programs, 2027 ICD-10 code updates, and more.

This edition includes information on the Medicare Shared Savings Program, updates to opioid treatment programs, 2027 ICD-10 code updates, and more.

CMS implements six-month nationwide enrollment moratoria on hospices and home health agencies (HHAs) effective May 13, 2026. Continue reading for more information.