Temporary Holding for Some Part B Claims

An issue has been identified resulting in the need to hold a segment of claims until the appropriate system fix can be installed.

06/21 B MMR: Evaluation and Management Coding: Medical Decision Making Moderate Point Scoring for Data Elements

Evaluation and Management Coding: Medical Decision Making Moderate Point Scoring for Data Elements On 1/1/2021, CMS approved and issued modifications to E/M coding guidelines that were originally developed and adopted by the AMA. This change [...]

Review for codes 0207T and 0563T

Review for codes 0207T and 0563T Services for CPT 0207T (Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral), and CPT 0563T (Evacuation of meibomian glands, automated, using heat delivered through [...]

Medicare Learning Network Articles, Medicare Monthly Review

Sample Results Letter

Sample Results Letter MAIL DATE PROVIDER NAME PROVIDER ADDRESS CITY, STATE, ZIP Provider PTAN/NPI Number: XXXXXXXX RE:Notice of Review - Targeted Probe and Education Results (Round X) Case Number: XXXXXX Dear Medicare Provider, Supplier [...]

Botox Chemodenervation Administration Codes

The above-described administration codes are billed on the Part B claim without the corresponding drug J0585, J0586, J0587 or J0588 and the claim rejects with messages CO16 N56 MA130. The article A52848 indicates the drug should be billed on [...]

End-Stage Renal Disease

NGSMedicare Videos

Nephrology

Eligibility