Billing

Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8).

When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original…

The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.

Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.

Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.

Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these claims.

For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH) patients. This article provides those details.

The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…

The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the…

Read this article to learn more about skilled nursing facility (SNF) sequential billing.