Timely Filing

Medically Unlikely Edits

Free Medicare Home Health YouTube Videos

Free Medicare Home Health YouTube Videos National Government Services has a plethora of educational Medicare Home Health YouTube videos regarding billing and documentation. These videos are free, short in length and very informative. They [...]

Free Medicare Hospice YouTube Videos

Free Medicare Hospice YouTube Videos National Government Services has an array of educational Medicare Hospice YouTube videos regarding billing and documentation. These videos are free, short in length and very informative. They contain [...]

Home Health Benefit

Coding and Edits

Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1

Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1 The revised Enrollment for Eligible Ordering/Certifying Physicians and Other Eligible Professionals (Form CMS-855O) is required beginning 1/1/2023. We’ll [...]

MLN Connects® Newsletter for Thursday, October 6, 2022

MLN Connects® Newsletter for Thursday, October 6, 2022​​​​​​​ News Resources & Flexibilities to Assist with Public Health Emergency in South Carolina Implementation of Inflation Reduction Act Provision Addressing Medicare Payments [...]

Billing Medicare for a Denial - Condition Code 21

Billing Medicare for a Denial - Condition Code 21 Medicare will not pay for services excluded by statute. For claims submitted to Medicare, these excluded services that are not a Medicare benefit may be: Not submitted to Medicare at all [...]

Reminder on Deleting Revenue Code Line(s) in the Fiscal Intermediary Standard System Direct Data Entry System

Reminder on Deleting Revenue Code Line(s) in the Fiscal Intermediary Standard System Direct Data Entry System This notice is to remind providers on the correct process for deleting a revenue code line in FISS DDE. If providers have claim [...]

Billing

Lung Cancer Screening

Drugs and Biologicals

Pain Management

Introducing our new Medicare Topic: Tobacco Cessation

Introducing our new Medicare Topic: Tobacco Cessation Visit our new designated Tobacco Cessation Medicare Topic for everything health care providers need to know about Medicare coverage for tobacco cessation counseling including coverage [...]

Tobacco Cessation

Frequently Asked Questions

MLN Connects® Newsletter: October 13, 2022

MLN Connects® Newsletter: October 13, 2022 News Protect Your Patients in October: Give Them a Flu Shot and COVID-19 Vaccine Vacating Differential Payment Rate for 340B-Acquired Drugs in 2022 Outpatient Prospective Payment System Final [...]

Drugs and Biologicals Frequently Asked Questions

Drugs and Biologicals Frequently Asked Questions We’ve added new frequently asked questions to our website. View answers to common questions about Drugs and Biologicals to ensure you have the information needed to properly submit claims for [...]

The Home Health and Hospice Targeted Probe and Educate Process

The Home Health and Hospice Targeted Probe and Educate Process Medical Review conducts TPE on claims from all providers under the Medicare Program. Protect your revenue by gaining more knowledge regarding TPE audits. Providers targeted for [...]