Find the latest Medicare news for specific provider specialties and types as well as helpful information, tools, and links to CMS resources.

Specialties Articles

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 Billing2020 Ambulance Fee ScheduleSecond Interpretation of X-rays and Electrocardiograms (EKGs)Chiropractic Services: Subsequent Visits and Treatment PlansPortable X-Ray ServicesAmbulatory Surgical Center (ASC) Facility: Services Included in PaymentsApril 2020 Update: Alabama Ambulatory Surgical Center (ASC) Fee SchedulesAir Ambulance: What Medicare CoversESRD Monthly Capitation Payment (MCP) Coding and Frequency LimitationsX-rays or EKGs Furnished to Emergency Room PatientsBeneficiary Signature RequirementsCertified Mammography CentersMedicare Part B Payments for End-Stage Renal Disease Dialysis Services and Comprehensive Error Rate Testing (CERT)Land Ambulance: Reasons for DenialPhysician Self-Dialysis Training ServicesUse of the AT modifier for Chiropractic Billing (New Information Along with Information in MM3449)Land Ambulance: Vehicle and StaffingLand 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 RadiologyReminder: Emergency Triage, Treat, and Transport (ET3) ModelAmbulatory Surgical Center (ASC) Facility: Services Reimbursed Separately2020 Alabama Ambulatory Surgical Center (ASC) Fee SchedulesSplit Post-Op Care and the Global Surgery PackageRoutine Foot Care General InformationAssistant Surgery, Co-Surgery and Team Surgery: Modifier RequiredChiropractic Services: Submission of Claims for Services Excluded from Medicare CoverageChiropractors: Submitting Requested DocumentationJuly 2020 Update: Georgia Ambulatory Surgical Center (ASC) Fee SchedulesClarification of Payment for ESRD-Related Home Services Under the Monthly Capitation PaymentLand Ambulance: Mutual Aid SituationsOphthalmic Biometry and A-Scans Coding GuidelinesPhysician 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)April 2020 Update: Tennessee Ambulatory Surgical Center (ASC) Fee SchedulesDialysis Services (In/Outpatient) Same Date as an Evaluation & Management ServiceJuly 2020 Update: Tennessee Ambulatory Surgical Center (ASC) Fee SchedulesX-rays or EKGs Furnished to Emergency Room PatientsEmergency ServicesApril 2020 Update: Georgia Ambulatory Surgical Center (ASC) Fee SchedulesChiropractic Services: Acute TreatmentAmbulatory Surgical Centers (ASCs) Tips and RemindersOrigin/Destination Ambulance ModifiersAmbulance Services Provided Outside the United StatesLand 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 TransportsLive Kidney Donor ServicesAnesthesia: 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 CorrectlyJJ Part B 2021 Opioid Treatment Program (OTP) RatesSpecimen Collection and Travel Allowance FeesClinical Diagnostic Laboratory ServicesDiagnostic Tests: Purchased or Personally PerformedOrders for Diagnostic TestsDiagnostic Tests: Purchased or Personally PerformedOrders 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 TestsPhysicians! Are You Ordering Surgical Dressings for Your Patients?Practitioners! Are You Ordering Lower Limb Orthoses for Your Patients? - ArticleProvider Compliance Tips for Nebulizers and Related Drugs Fact Sheet - RevisedPhysicians! Are You Ordering Lower Limb Orthoses for Your Patients?Important Information for Physicians Ordering Durable Medical Equipment: New Prior Authorization RequirementsPhysicians! Are You Ordering a Spinal Orthosis for Your Patient?Durable 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?2020 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction ListComplying with Documentation Requirements for Laboratory ServicesModerate Sedation ServicesMedicare Documentation Job Aid for Doctors of ChiropracticDocumentation Tips for Ambulance Providers: Paint the PictureCataract 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) CodesMedicare Record Authentication: Tips for PhysiciansGV and GW HCPCS Modifiers: Medicare Part B Services Provided to Hospice Patients'Incident To' and Nonphysician Practitioner ServicesFace-to-Face Encounters and Certification for Home Health Care and Physician Documentation RequirementsWhy isn't Mary Receiving the Home Health Care Her Physician Ordered?Home Health Plans of Care: NPs, CNSs and PAs Allowed to CertifyHospiceHome Health Plans of Care: NPs, CNSs and PAs Allowed to CertifyBilling Hospice Physician, Nurse Practitioner (NP) and Physician Assistant (PA) Services (Related to Terminal Diagnosis) Job AidMedicare Coverage of Optometry and Co-management ServicesRevised Fees for Transurethral Waterjet AblationHome 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) ProgramInfluenza and Pneumococcal Vaccines And Administration ReimbursementHemophilia Clotting Factors: Submitting the Number of Units2021 Ambulatory Surgical Center (ASC) Drug Pricing Updates2021 Ambulatory Surgical Center (ASC) Drug Pricing Updates2020 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 CodesAmbulance Fee Schedule and Medicare Transports CMS BookletOpioid Treatment Programs and HCPCS G2067 through G2075 Weekly BundlesOn Demand: Jurisdiction J and M Part B Medicare Opioid WebinarInvoices Must Be Submitted for Certain Drug and Biological Codes