Billing
Billing Mpox vaccine and laboratory codes
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was updated September 6 to advise providers to include the product code on…
Responding to additional documentation requests (ADRs)
This article explains how to respond to ADRs.
Goniotomy procedures performed in conjunction with insertion of a glaucoma drainage device is considered not reasonable and necessary
View this reminder regarding correct reporting of micro or minimally invasive glaucoma surgery (MIGS).
Immunization roster billing
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…
Immunization roster billing
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…
Intensive outpatient program (IOP) billing requirements for institutional services
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing…
Physician supervision of diagnostic tests
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…
Physician supervision of diagnostic tests
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…
Long-term care hospital (LTCH) interim billing guidelines
Read these interim billing guidelines for long-term care hospitals.
End-stage renal disease (ESRD) billing requirements
Read the following article for the most common billing requirements for end-stage renal disease related services.