Latest Updates
What is fraud and abuse?
Learn the difference between fraud and abuse, recognize common warning signs, and understand your role in preventing improper Medicare billing practices. Review this article for more information.
What is fraud and abuse?
Learn the difference between fraud and abuse, recognize common warning signs, and understand your role in preventing improper Medicare billing practices. Review this article for more information.
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,…
Inpatient psychiatric hospital benefit days
Medicare provides a lifetime limit of 190 days of inpatient psychiatric hospital care for each beneficiary. Once all 190 days have been used, Medicare will not provide additional coverage for…
Introduction to PC Print
An updated version of PC Print V9.3.2 is now available. Download the updated version of PC-Print today.
MLN Connects Newsletter for July 2, 2026
This edition includes information on hospital OPPS & home health proposed payment rules, GLP-1 bridge, and more.
MLN Connects Newsletter for July 2, 2026
This edition includes information on hospital OPPS & home health proposed payment rules, GLP-1 bridge, and more.
Hospital off-campus outpatient department reporting requirements
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code 34554 if modifier ER, PO, or PN is billed on all service lines, and…
MLN Connects for June 25, 2026
This edition includes information on the PEPPER relaunch, understanding the telehealth enrollment guide, preventing claim denials for tracheostomy supplies, and more.