Published 06/10/2020

Find the latest Medicare news for specific provider specialties and types as well as helpful information, tools, and links to CMS resources.

Billing Requirements for Ophthalmic BevacizumabFoot Care Coverage GuidelinesClaim Submission for HCPCS Code V2785Anesthesia Services of 10 or More HoursTwenty Percent Payment Reduction for X-Rays Taken Using FilmPhysician Self-Dialysis Training ServicesEmergency ServicesLand Ambulance: Mutual Aid SituationsOctober 2020 Update: West Virginia Ambulatory Surgical Center (ASC) Fee SchedulesLand Ambulance: Reasons for DenialPhysician Certification Statement for Ambulance ServicesChiropractic Services: Subluxation by X-ray or Physical ExamAmbulance Transports: Two Trips on the Same Date of ServiceCertified Mammography CenterseCardio Cardiac Monitoring Services Billing/Coding GuidelinesOctober 2020 Update: North Carolina Ambulatory Surgical Center (ASC) Fee SchedulesOctober 2020 Update: South Carolina Ambulatory Surgical Center (ASC) Fee SchedulesLand Ambulance: What Medicare CoversUse of the AT modifier for Chiropractic Billing (New Information Along with Information in MM3449)X-rays or EKGs Furnished to Emergency Room PatientsCPT Modifier 59: Physical Medicine (Therapy)Multiple Surgeries on the Same DayAnesthesia: Base and Time Units - How to CalculateMedicare Coverage of EchocardiographyAir Ambulance: Vehicle and StaffingX-rays or EKGs Furnished to Emergency Room PatientsHydrophilic Contact Lenses: Require InvoiceAnesthesia Services: Anesthesiologist Assistants (AAs) and the QZ HCPCS ModifierAmbulatory Surgical Center (ASC) Facility: Services Reimbursed Separately2021 North Carolina Ambulatory Surgical Center (ASC) Fee SchedulesSecond Interpretation of X-rays and Electrocardiograms (EKGs)Beneficiary Signature RequirementsModifiers Pertaining to Surgery or Services within the Global PeriodTherapy ModifiersInterventional RadiologyBilateral Surgeries and CPT Modifier 50Cataract RemovalAmbulance Suppliers: Enrollment RequirementsChiropractic Services: Submission of Claims for Services Excluded from Medicare Coverage2021 South Carolina Ambulatory Surgical Center (ASC) Fee SchedulesSecond Interpretation of X-rays and Electrocardiograms (EKGs)OIG Report: Medicare Needs Better Controls to Prevent Fraud, Waste, and Abuse Related to Chiropractic ServiceChiropractors: Submitting Requested DocumentationAmbulance Transports: Repetitive vs. Non-Repetitive, Scheduled vs. UnscheduledOrigin/Destination Ambulance Modifiers2021 West Virginia Ambulatory Surgical Center (ASC) Fee Schedules2021 Virginia Ambulatory Surgical Center (ASC) Fee SchedulesMultiple Patient TransportsLand Ambulance: No Transport and Non-Covered TransportsAir Ambulance: What Medicare CoversLand Ambulance: Physician Certification Statement (PCS) RequirementsChiropractic Services: Acute TreatmentPortable X-Ray ServicesRoutine Foot Care General InformationNonphysician Provider (NP, PA) Scopes of PracticePart B Routine Foot Care Services Questions and AnswersAssistant Surgery, Co-Surgery and Team Surgery: Modifier RequiredAir Ambulance: Origins and DestinationsTerminated Ambulatory Surgical Center ProceduresAmbulance Transport: Death of BeneficiaryEducational Resources to Assist Chiropractors with Medicare BillingOctober 2020 Update: Virginia Ambulatory Surgical Center (ASC) Fee SchedulesAnesthesia: Modifier SubmissionMonitored Anesthesia Care (MAC)COVID-19 Vaccine and Monoclonal Antibody Therapy Paper Roster Billing PacketSculptra Injection: HCPCS Code Q2028 Requires InvoiceQ4180 Revita Skin Substitute Fee ChangeCompound Drugs Administered for Pain Management May Be Rejected if Not Submitted CorrectlyPart B Unlisted Drugs and BiologicalsSeasonal Flu Vaccine BillingPricing for Skin Substitutes and Wound Care ProductsSingle Use Vial/Package Drug Wastage Billing and Coverage GuidelinesProliaSpecimen Collection and Travel Allowance FeesOrders for Diagnostic TestsOrders for Diagnostic TestsClinical Diagnostic Laboratory ServicesCLIA Made EasyPhysician Office Laboratories and the Clinical Laboratory Improvement Amendments (CLIA)Physicians/Practitioners! Medical Records Play a Vital Role in Ordering and Providing DMEPOS to Your Patients!JM Part B 2021 Opioid Treatment Program (OTP) RatesDurable Medical Equipment (DME) TutorialsDME: Medicare Enrollment for Providers Who Solely Order or CertifyPractitioners! Are You Ordering Lower Limb Orthoses for Your Patients? - ArticleImportant Information for Physicians Ordering Durable Medical Equipment: New Prior Authorization RequirementsPractitioners! Are You Ordering Nebulizers and Inhalation Medication for Your Patient?Physicians! Are You Ordering Lower Limb Orthoses for Your Patients?Dear Physician: Scoring Sleep TestsClinicians Ordering Oxygen and Oxygen Equipment - Reference Guide with Information for the COVID-19 Public Health Emergency (PHE)Physicians Ordering Oxygen and Oxygen Equipment: Quick TipsClinicians: Are You Ordering Oxygen for Your Patient?Complying with Documentation Requirements for Laboratory ServicesModerate Sedation ServicesMedicare Documentation Job Aid for Doctors of ChiropracticIDTF Diagnostic Tests: CMS-855 ApplicationPsychotherapy ServicesManagement Options: Drug Therapy Requiring Intensive Monitoring for ToxicityMedical Necessity of Therapeutic Exercise ModuleReporting HCT / HGB Levels for ESAs and Anti-Anemia Drugs Other Than ESAsAmbulance Coverage for Nonemergency Transports ModuleChiropractic Basic Billing ModuleCataract Removal ModuleChiropractic Documentation ModuleCOVID-19 Laboratory Test PricingIf Your Medicare Patient Requires Scheduled Repetitive Non-Emergent Ambulance Transport, This Is Information You Need to KnowOptometry and Ophthalmology: Determination of Refractive StateGeneral Ophthalmological Services vs. Evaluation and Management (E/M) CodesGV and GW HCPCS Modifiers: Medicare Part B Services Provided to Hospice PatientsWhy isn't Mary Receiving the Home Health Care Her Physician Ordered?HospiceMedicare Coverage of Optometry and Co-management ServicesHome Health Guide for Physicians and NPPsHome Health Guide for Physicians and NPPsPalliative Care vs. Hospice CareCMS Physician Orders: Provider Minute VideoHow Does Palmetto GBA Use Invoices to Reimburse Drugs and Biologicals?Clinicians! Are You Ordering Diabetic Shoes for Your Patients?Unclassified or Not Otherwise Classified (NOC) Drug Codes: Rejected if Not Submitted CorrectlyDepartment of Health and Human Services Office of The Inspector General: Medicare made Millions of Dollars in Overpayments for End-Stage Renal Disease Monthly Capitation Payments ReportChiropractic Medical Records and Documentation: Comprehensive Error Rate Testing (CERT) Program2020 Ambulatory Surgical Center (ASC) Drug Pricing Updates2020 Ambulatory Surgical Center (ASC) Drug Pricing UpdatesChiropractic Claims Submitted with Both the 'AT' and 'GA' Modifier to RejectMedicare Coverage for Chiropractic Services: Medical Record Documentation Requirements for Initial and Subsequent VisitsCounting Units for Therapy CodesClarification of Payment for ESRD-Related Home Services Under the Monthly Capitation PaymentPhysicians! Are You Ordering Surgical Dressings for Your Patients?Release of Beneficiary Information to Ambulance Providers of Repetitive Scheduled Non-Emergent TransportsChiropractic Services: Subsequent Visits and Treatment PlansAmbulance Services Provided Outside the United StatesDiagnostic Tests: Purchased or Personally PerformedDiagnostic Tests: Purchased or Personally PerformedHome Infusion Therapy (HIT) Rates for 2022 JM Part BDocumentation Tips for Ambulance Providers: Paint the PictureOn Demand: Jurisdiction J and M Part B Medicare Opioid WebinarOpioid Treatment Programs and HCPCS G2067 through G2075 Weekly BundlesOphthalmic Biometry and A-Scans Coding GuidelinesInvoices Must Be Submitted for Certain Drug and Biological CodesBilling VEKLURY (Remdesivir) Antiviral Medication in Outpatient SettingsLive Kidney Donor ServicesMedicare Record Authentication: Tips for PhysiciansJM Part B 2022 Opioid Treatment Program RatesAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulatory Surgical Center (ASC) Pass-Through DevicesInvoices Must Be Submitted for Certain Drug and Biological Codes: April Through June 2022JM: We're All In This Together!JM: We're All In This Together!Invoices Must Be Submitted for Certain Drug and Biological Codes: January Through March 2022ESRD Monthly Capitation Payment (MCP) Coding and Frequency LimitationsFace-to-Face Encounters and Certification for Home Health Care and Physician Documentation RequirementsAmbulatory Surgical Center (ASC) Facility: Services Included in PaymentsLand Ambulance: Vehicle and Staffing2021 Influenza and Pneumococcal Vaccines and Administration ReimbursementInvoices Must Be Submitted for Certain Drug and Biological Codes: July Through September 20222022 Influenza and Pneumococcal Vaccines and Administration Reimbursement2021 Ambulatory Surgical Center Drug Pricing Updates2021 Ambulatory Surgical Center Drug Pricing Updates2022 Ambulatory Surgical Center Drug Pricing Updates2022 Ambulatory Surgical Center Drug Pricing UpdatesPhysicians! Are You Ordering Glucose Monitors and Supplies for Your Patients?Billing Hospice Physician, Nurse Practitioner and Physician Assistant Services (Related to Terminal Diagnosis) Job AidPayment Allowance Update for COVID-19 Monoclonal Antibody Therapy Q0222 Injection, Bebtelovimab, 175 mg