Latest Updates

Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical…

This page contains a list of current payment indicators (PI) for procedures provided in an ambulatory surgical center (ASC) as well as a link to the addenda on CMS.gov for previous years.

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the…

The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the…

This edition includes information on postoperative visit reporting, billing for optometry services at nursing facilities, the 2026 CMS Burden Reduction Conference, and more.

This edition includes information on postoperative visit reporting, billing for optometry services at nursing facilities, the 2026 CMS Burden Reduction Conference, and more.

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…

In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…

This edition includes information on skilled nursing facility reporting, the January ASC payment update, and more.