Latest Updates

This article outlines billing, payment methodology, and documentation requirements for non-sheet skin substitute products. It clarifies that the appropriate application codes must be submitted on the…

This edition includes information on DMEPOS benefit category determinations, the MPFS database October update, the NCCI October update, and more.

This edition includes information on DMEPOS benefit category determinations, the MPFS database October update, the NCCI October update, and more.

View TPE round results for psychotherapy services.

Effective October 1 for all JN providers, Part B clerical error reopening (CERs) requests must be submitted using the SPOT Portal, the Reopening Gateway or the Interactive Voice Response (IVR) system…

The Comprehensive Error Rate Testing (CERT) program monitors and reports the accuracy of Medicare fee-for-service (FFS) payments. Read this article for helpful information and resources that can help…

The Comprehensive Error Rate Testing (CERT) program monitors and reports the accuracy of Medicare fee-for-service (FFS) payments. Read this article for helpful information and resources that can help…

This edition includes information on dermatologists billing for E/M services and minor surgical procedures, 2027 hospice payments update, October updates, and more.

This edition includes information on dermatologists billing for E/M services and minor surgical procedures, 2027 hospice payments update, October updates, and more.

Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require that a modifier be reported. Avoid claim denials or appeals due to incorrect…