Find the latest Medicare news for specific provider specialties and types as well as helpful information, tools, and links to CMS resources.
Anesthesia Services of 10 or More HoursFoot Care Coverage GuidelinesClaim Submission for HCPCS Code V2785Twenty Percent Payment Reduction for X-Rays Taken Using FilmeCardio Cardiac Monitoring Services Billing/Coding GuidelinesOIG Report: Medicare Needs Better Controls to Prevent Fraud, Waste, and Abuse Related to Chiropractic ServiceAnesthesia Services: Anesthesiologist Assistants (AAs) and the QZ HCPCS ModifierAmbulance Transport: Death of BeneficiaryOctober 2020 Update: Alabama Ambulatory Surgical Center (ASC) Fee SchedulesNonphysician Provider (NP, PA) Scopes of PracticeCataract RemovalMedicare Coverage of EchocardiographyBilateral Surgeries and CPT Modifier 50Multiple Patient TransportsModifiers Pertaining to Surgery or Services within the Global PeriodTherapy Modifiers2021 Alabama Ambulatory Surgical Center (ASC) Fee Schedules2021 Tennessee Ambulatory Surgical Center (ASC) Fee SchedulesEducational Resources to Assist Chiropractors with Medicare BillingSecond Interpretation of X-rays and Electrocardiograms (EKGs)Portable X-Ray ServicesAir Ambulance: What Medicare CoversX-rays or EKGs Furnished to Emergency Room PatientsBeneficiary Signature RequirementsCertified Mammography CentersLand Ambulance: Reasons for DenialPhysician Self-Dialysis Training ServicesUse of the AT modifier for Chiropractic Billing (New Information Along with Information in MM3449)Land Ambulance: Physician Certification Statement (PCS) RequirementsAmbulance Transports: Two Trips on the Same Date of ServiceCPT Modifier 59: Physical Medicine (Therapy)Chiropractic Services: Subluxation by X-ray or Physical ExamOctober 2020 Update: Tennessee Ambulatory Surgical Center (ASC) Fee SchedulesInterventional RadiologyAmbulatory Surgical Center (ASC) Facility: Services Reimbursed SeparatelyRoutine Foot Care General InformationAssistant Surgery, Co-Surgery and Team Surgery: Modifier RequiredChiropractic Services: Submission of Claims for Services Excluded from Medicare CoverageChiropractors: Submitting Requested DocumentationLand Ambulance: Mutual Aid SituationsPhysician Certification Statement for Ambulance ServicesMultiple Surgeries on the Same DayOctober 2020 Update: Georgia Ambulatory Surgical Center (ASC) Fee SchedulesTerminated Ambulatory Surgical Center Procedures2021 Georgia Ambulatory Surgical Center (ASC) Fee SchedulesAmbulance Suppliers: Enrollment RequirementsAnesthesia: Base and Time Units - How to CalculateSecond Interpretation of X-rays and Electrocardiograms (EKGs)X-rays or EKGs Furnished to Emergency Room PatientsEmergency ServicesChiropractic Services: Acute TreatmentOrigin/Destination Ambulance ModifiersLand Ambulance: What Medicare CoversHydrophilic Contact Lenses: Require InvoiceAir Ambulance: Origins and DestinationsAir Ambulance: Vehicle and StaffingPart B Routine Foot Care Services Questions and AnswersLand Ambulance: No Transport and Non-Covered TransportsAnesthesia: Modifier SubmissionMonitored Anesthesia Care (MAC)Seasonal Flu Vaccine BillingSingle Use Vial/Package Drug Wastage Billing and Coverage GuidelinesPart B Unlisted Drugs and BiologicalsQ4180 Revita Skin Substitute Fee ChangePricing for Skin Substitutes and Wound Care ProductsProliaSculptra Injection: HCPCS Code Q2028 Requires InvoiceCOVID-19 Vaccine and Monoclonal Antibody Therapy Paper Roster Billing PacketCompound Drugs Administered for Pain Management May Be Rejected if Not Submitted CorrectlySpecimen Collection and Travel Allowance FeesClinical Diagnostic Laboratory ServicesOrders for Diagnostic TestsOrders for Diagnostic TestsCLIA Made EasyPhysician Office Laboratories and the Clinical Laboratory Improvement Amendments (CLIA)Clinicians: Are You Ordering Oxygen for Your Patient?Physicians/Practitioners! Medical Records Play a Vital Role in Ordering and Providing DMEPOS to Your Patients!DME: Medicare Enrollment for Providers Who Solely Order or CertifyDear Physician: Scoring Sleep TestsPractitioners! Are You Ordering Lower Limb Orthoses for Your Patients? - ArticlePhysicians! Are You Ordering Lower Limb Orthoses for Your Patients?Important Information for Physicians Ordering Durable Medical Equipment: New Prior Authorization RequirementsDurable Medical Equipment (DME) TutorialsClinicians Ordering Oxygen and Oxygen Equipment - Reference Guide with Information for the COVID-19 Public Health Emergency (PHE)Physicians Ordering Oxygen and Oxygen Equipment: Quick TipsPractitioners! Are You Ordering Nebulizers and Inhalation Medication for Your Patient?Complying with Documentation Requirements for Laboratory ServicesModerate Sedation ServicesMedicare Documentation Job Aid for Doctors of ChiropracticCataract Removal ModuleManagement Options: Drug Therapy Requiring Intensive Monitoring for ToxicityIDTF Diagnostic Tests: CMS-855 ApplicationPsychotherapy ServicesAmbulance Coverage for Nonemergency Transports ModuleChiropractic Basic Billing ModuleMedical Necessity of Therapeutic Exercise ModuleChiropractic Documentation ModuleReporting HCT / HGB Levels for ESAs and Anti-Anemia Drugs Other Than ESAsCOVID-19 Laboratory Test PricingOptometry and Ophthalmology: Determination of Refractive StateGeneral Ophthalmological Services vs. Evaluation and Management (E/M) CodesGV and GW HCPCS Modifiers: Medicare Part B Services Provided to Hospice PatientsWhy isn't Mary Receiving the Home Health Care Her Physician Ordered?HospiceMedicare Coverage of Optometry and Co-management ServicesHome Health Guide for Physicians and NPPsHome Health Guide for Physicians and NPPsPalliative Care vs. Hospice CareCMS Physician Orders: Provider Minute VideoHow Does Palmetto GBA Use Invoices to Reimburse Drugs and Biologicals?Clinicians! Are You Ordering Diabetic Shoes for Your Patients?Unclassified or Not Otherwise Classified (NOC) Drug Codes: Rejected if Not Submitted CorrectlyDepartment of Health and Human Services Office of The Inspector General: Medicare made Millions of Dollars in Overpayments for End-Stage Renal Disease Monthly Capitation Payments ReportChiropractic Medical Records and Documentation: Comprehensive Error Rate Testing (CERT) Program2020 Ambulatory Surgical Center (ASC) Drug Pricing Updates2020 Ambulatory Surgical Center (ASC) Drug Pricing UpdatesChiropractic Claims Submitted with Both the 'AT' and 'GA' Modifier to RejectMedicare Coverage for Chiropractic Services: Medical Record Documentation Requirements for Initial and Subsequent VisitsCounting Units for Therapy CodesClarification of Payment for ESRD-Related Home Services Under the Monthly Capitation PaymentPhysicians! Are You Ordering Surgical Dressings for Your Patients?Chiropractic Services: Subsequent Visits and Treatment PlansAmbulance Services Provided Outside the United StatesDiagnostic Tests: Purchased or Personally PerformedDiagnostic Tests: Purchased or Personally PerformedHome Infusion Therapy (HIT) Rates for 2022 JJ Part BDocumentation Tips for Ambulance Providers: Paint the PictureOn Demand: Jurisdiction J and M Part B Medicare Opioid WebinarOpioid Treatment Programs and HCPCS G2067 through G2075 Weekly BundlesJJ Part B 2022 Opioid Treatment Program (OTP) RatesOphthalmic Biometry and A-Scans Coding GuidelinesBilling VEKLURY (Remdesivir) Antiviral Medication in Outpatient SettingsLive Kidney Donor ServicesMedicare Record Authentication: Tips for PhysiciansAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulatory Surgical Center (ASC) Pass-Through DevicesJJ: We're All In This Together!JJ: We're All In This Together!Invoices Must Be Submitted for Certain Drug and Biological Codes: January Through March 2022Invoices Must Be Submitted for Certain Drug and Biological Codes: April Through June 2022ESRD Monthly Capitation Payment (MCP) Coding and Frequency LimitationsFace-to-Face Encounters and Certification for Home Health Care and Physician Documentation RequirementsAmbulatory Surgical Center (ASC) Facility: Services Included in PaymentsLand Ambulance: Vehicle and Staffing2021 Influenza and Pneumococcal Vaccines and Administration ReimbursementInvoices Must Be Submitted for Certain Drug and Biological Codes: July Through September 2022Hemophilia Clotting Factors: Submitting the Number of Units2022 Ambulatory Surgical Center Drug Pricing Updates2022 Ambulatory Surgical Center Drug Pricing Updates2022 Influenza and Pneumococcal Vaccines and Administration Reimbursement2021 Ambulatory Surgical Center Drug Pricing Updates2021 Ambulatory Surgical Center Drug Pricing UpdatesPhysicians! Are You Ordering Glucose Monitors and Supplies for Your Patients?Billing Hospice Physician, Nurse Practitioner and Physician Assistant Services (Related to Terminal Diagnosis) Job AidPayment Allowance Update for COVID-19 Monoclonal Antibody Therapy Q0222 Injection, Bebtelovimab, 175 mg