Split/Shared and Incident To Services

Split/Shared and Incident To Services Please define the substantive portion of a split (or shared) visit in 2024? Answer: The following factors apply in 2024 in determining the substantive portion of a split (or shared) visit:   [...]

PECOS: In PECOS, please advise how to respond when the MAC needs additional information or supporting documentation for a submitted application.

Complex and Chronic Care - HCPCS Code G2211

Complex and Chronic Care - HCPCS Code G2211 Please define appropriate usage and billing for HCPCS code G2211. Answer: CMS has approved G2211 for 2024 as an add-on code for complex and/or continuous office and outpatient E/M services [...]

Documentation

Documentation What are the basic documentation requirements for a service submitted to Medicare for payment? Answer: For all services submitted to Medicare, the medical record (whether electronic or paper) must clearly define the provider [...]