Billing

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Unsolicited / voluntary refunds notification for calendar year (CY) 2025

View this notification regarding unsolicited / voluntary refunds.

Learn how to determine when Medicare is the primary or secondary payer

This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon…

Learn how to determine when Medicare is the primary or secondary payer

This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon…

Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays

Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…

Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays

Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…

Preventive services: Coverage determination

Find information on local and national coverage determinations specific to preventive services.

Preventive services: Coverage determination

Find information on local and national coverage determinations specific to preventive services.

Hepatitis B vaccination

Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who…

Hepatitis B vaccination

Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who…

Unsolicited / voluntary refunds

This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.