Specialties


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





Specialties Articles


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 ExamDialysis Services (In/Outpatient) Same Date as an Evaluation & Management ServiceAmbulance Transports: Two Trips on the Same Date of ServiceApril 2020 Update: West Virginia Ambulatory Surgical Center (ASC) Fee SchedulesCertified 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)Medicare Part B Payments for End-Stage Renal Disease Dialysis Services and Comprehensive Error Rate Testing (CERT)Ambulatory Surgical Centers (ASCs) Tips and RemindersLand Ambulance: Vehicle and StaffingLive Kidney Donor ServicesMultiple 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 Patients2020 Ambulance Fee ScheduleHydrophilic Contact Lenses: Require InvoiceAnesthesia Services: Anesthesiologist Assistants (AAs) and the QZ HCPCS ModifierAmbulatory Surgical Center (ASC) Facility: Services Reimbursed SeparatelyApril 2020 Update: Virginia Ambulatory Surgical Center (ASC) Fee SchedulesMedicare Coverage for Chiropractic Services - Medical Record Documentation Requirements for Initial and Subsequent Visits2021 North Carolina Ambulatory Surgical Center (ASC) Fee SchedulesClarification of Payment for ESRD-Related Home Services Under the Monthly Capitation PaymentSecond Interpretation of X-rays and Electrocardiograms (EKGs)Beneficiary Signature RequirementsChiropractic Medical Recordsand Documentation: Comprehensive Error Rate Testing (CERT) Program RequestsModifiers Pertaining to Surgery or Services within the Global PeriodTherapy ModifiersOphthalmic Biometry and A-Scans Coding GuidelinesJuly 2020 Update: South Carolina Ambulatory Surgical Center (ASC) Fee SchedulesInterventional RadiologyBilateral Surgeries and CPT Modifier 50Ambulatory Surgical Center (ASC) Facility: Services Included in PaymentsCataract 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)Ambulance Services Provided Outside the United StatesOIG 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 ModifiersJuly 2020 Update: Virginia Ambulatory Surgical Center (ASC) Fee Schedules2021 West Virginia Ambulatory Surgical Center (ASC) Fee SchedulesReminder: Emergency Triage, Treat, and Transport (ET3) ModelApril 2020 Update: South Carolina Ambulatory Surgical Center (ASC) Fee Schedules2021 Virginia Ambulatory Surgical Center (ASC) Fee SchedulesMultiple Patient TransportsChiropractic Services: Subsequent Visits and Treatment PlansLand Ambulance: No Transport and Non-Covered TransportsAir Ambulance: What Medicare CoversLand Ambulance: Physician Certification Statement (PCS) RequirementsSplit Post-Op Care and the Global Surgery PackageApril 2020 Update: North Carolina Ambulatory Surgical Center (ASC) Fee SchedulesChiropractic Services: Acute TreatmentPortable X-Ray ServicesRoutine Foot Care General InformationNonphysician Provider (NP, PA) Scopes of PracticePart B Routine Foot Care Services Questions and AnswersESRD Monthly Capitation Payment (MCP) Coding and Frequency LimitationsAssistant Surgery, Co-Surgery and Team Surgery: Modifier RequiredCounting Units for Therapy CodesJuly 2020 Update: North Carolina Ambulatory Surgical Center (ASC) Fee SchedulesAir 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 PacketUnclassified or Not Otherwise Classified (NOC) Drug Codes: Rejected if Not Submitted CorrectlySculptra Injection: HCPCS Code Q2028 Requires InvoiceQ4180 Revita Skin Substitute Fee ChangeCompound Drugs Administered for Pain Management May Be Rejected if Not Submitted CorrectlyHow Does Palmetto GBA Use Invoices to Reimburse Drugs and Biologicals?Part B Unlisted Drugs and BiologicalsSeasonal Flu Vaccine BillingPricing for Skin Substitutes and Wound Care ProductsSingle Use Vial/Package Drug Wastage Billing and Coverage GuidelinesProliaDiagnostic Tests: Purchased or Personally PerformedSpecimen Collection and Travel Allowance FeesOrders for Diagnostic TestsOrders for Diagnostic TestsClinical Diagnostic Laboratory ServicesCLIA Made EasyDiagnostic Tests: Purchased or Personally PerformedPhysician 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 Certify2020 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction ListPhysicians! Are You Ordering a Spinal Orthosis for Your Patient?Practitioners! Are You Ordering Lower Limb Orthoses for Your Patients? - ArticleImportant Information for Physicians Ordering Durable Medical Equipment: New Prior Authorization RequirementsProvider Compliance Tips for Nebulizers and Related Drugs Fact Sheet - RevisedPractitioners! Are You Ordering Nebulizers and Inhalation Medication for Your Patient?Physicians! Are You Ordering Surgical Dressings for Your Patients?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 ChiropracticDocumentation Tips for Ambulance Providers: Paint the PictureIDTF 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 PricingRelease of Beneficiary Information to Ambulance Providers of Repetitive Scheduled Non-Emergent TransportsIf Your Medicare Patient Requires Scheduled Repetitive Non-Emergent Ambulance Transport, This Is Information You Need to KnowAmbulance Fee Schedule and Medicare Transports CMS BookletInfluenza and Pneumococcal Vaccines and Administration ReimbursementOptometry and Ophthalmology: Determination of Refractive StateGeneral Ophthalmological Services vs. Evaluation and Management (E/M) CodesMedicare Record Authentication: Tips for PhysiciansWe're All In This Together Flyer - Dialysis FacilitiesWe're All In This Together Flyer - Dialysis FacilitiesGV and GW HCPCS Modifiers: Medicare Part B Services Provided to Hospice Patients'Incident To' and Nonphysician Practitioner ServicesFace-to-Face Encounters and Certification for Home Health Care and Physician Documentation RequirementsWhy isn't Mary Receiving the Home Health Care Her Physician Ordered?HospiceBilling Hospice Physician, Nurse Practitioner (NP) and Physician Assistant (PA) Services (Related to Terminal Diagnosis) Job AidHome Health Plans of Care: NPs, CNSs and PAs Allowed to CertifyHome Health Plans of Care: NPs, CNSs and PAs Allowed to CertifyChiropractic Claims Submitted with Both the 'AT' and 'GA' Modifier To Reject2021 Ambulatory Surgical Center (ASC) Drug Pricing Updates2021 Ambulatory Surgical Center (ASC) Drug Pricing Updates2020 Ambulatory Surgical Center (ASC) Drug Pricing Updates2020 Ambulatory Surgical Center (ASC) Drug Pricing UpdatesMedicare Coverage of Optometry and Co-management ServicesRevised Fees for Transurethral Waterjet Ablation