contractor articles (180)
Active Articles:
None to display.Retired Articles:
A327: Add-On-Codes for AnesthesiaA332: Billing for Compounded Drugs
A343: Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease
A375: Implementation of the Financial Limitation for Outpatient Rehabilitation Services
A416: Frequently Asked Questions Medicare Part B Provider
A422: Noncoverage of Multiple Electroconvulsive Therapy (MECT) (Part A and B)
A491: Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities
A522: Requirements for Payment of Medicare Claims for Foot and Nail Care Services (Part B)
A556: Independent Therapists and DME Suppliers – Billing for Services That May Be Part Of A Home Health Stay
A596: Coverage and Billing for Neuromuscular Electrical Stimulation (NMES)
A626: Medicare Coverage of Levocarnitine for use in the treatment of Carnitine Deficiency in ESRD Patients
A633: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds
A649: Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) (Part A and B)
A668: Correct Coding for Influenza Vaccine (Part A and B)
A697: Coverage and Billing for Percutaneous Image-Guided Breast Biopsy
A708: Coding Instructions for IN-111 Zevalin and and Y-90 Zevalin
A721: Peripheral Neuropathy Coverage Policy and Billing Requirements Clarified
A727: Coverage and Billing for the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes
A739: Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A745: Coding Changes for Sodium Hyaluronate
A756: Medicare Coverage of Rehabilitation Services for Beneficiaries with Vision Impairment
A839: Additional Clarification for Medical Nutrition Therapy (MNT) Services
A867: Payment Policy for Air Ambulance Transportation of Deceased Beneficiary
A884: Coverage Excluded for Non-Contact Normothermic Wound Therapy (NNWT)
A980: Coding for Non-Covered Services and Services Not Reasonable and Necessary (Part B)
A1004: Attestation Acceptable from Independent Laboratories Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Inpatients (Part B)
A1010: Revised Claim Submission Requirements for Clinical Trial Routine Care Services (Part A and B)
A1100: Cryosurgery of the Prostate Gland (Part B)
A1112: Billing Audiologic Function Tests for Skilled Nursing Facility (SNF) Patients (Part A and B)
A1122: Coverage and Billing of Biofeedback Training for the Treatment of Urinary Incontinence (Part A and B)
A1128: Coverage Available for Clinical Trials on Carotid Stenting with Category B Investigational Device Exemptions (IDEs) (Part A and B)
A1140: Home Care and Domiciliary Care Visits (Codes 99321-99353)
A1264: Revised Claims Processing Instructions for Medicare Qualifying Clinical Trial Claims for Managed Care (M+C) Enrollees
A1271: Medicare Coverage of Services for Beneficiaries Participating in Medicare Qualifying Clinical Trials
A1295: Submit Claims for Oral Anti-cancer and Oral Anti-emetic Drugs to the Durable Medical Equipment Regional Carrier (DMERC)
A4189: Hearing Aid Exclusion Clarified
A4358: Supervising Physicians in Teaching Settings
A6529: Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services
A6769: Ambulance and Local Modifier Code Deletions: Correction
A6864: Off-Label Coverage for Non-Oncologic Drugs
A7028: Screening Flexible Sigmoidoscopy Coverage Allowed for Non-physician Specialties
A7034: Fluoroscopy Billing Update
A7954: Ambulance Billing Reminders
A8361: Medicare Global Surgery Policy
A8377: Documentation Requirements for Partial Hospitalization Program (PHP) Services
A9197: Coding Correction for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A9431: Billing “Shared” Evaluation and Management Services
A9445: Non-physician Practitioners Billing for Diabetes Outpatient Self-Management Training (DSMT) Services
A9684: Colorectal Cancer Screening Benefits and Coverage
A9689: Mandatory Assignment Required for Drug and Biological Coverage
A9793: Hepatitis B Vaccines
A9900: Verteporfin Coverage
A9970: Billing Guidelines for Elective Surgery
A10062: Questions and Answers Regarding Payment for the Services of Therapy Students Under Part B of Medicare
A10073: Intestinal and Multi-Visceral Transplantation
A10129: Ambulance Non-Resident Fees
A10157: Locum Tenens Q & A
A10189: Revision of Medicare Reimbursement for Telehealth Services
A10258: Physician Payment for Services Performed in an ASC
A10265: Payment Policies for Pre-operative Services
A10275: Billing for Screening Glaucoma Services
A10329: E/M Billing Reminder
A10339: Local Medical Review Policy (LMRP) Consolidation
A10356: Correct Billing of Modifier 90
A10383: Adult Liver Transplantation Coverage Expanded to Include Hepatitis B
A10388: Nurse Practitioner Qualification Alert
A11519: Definition of Rural Changed for Paramedic Intercept Services
A11548: Electrical Osteogenic Stimulator Coverage Expanded
A11555: External Counterpulsation for Severe Angina Update
A11678: Local Medical Review Policy (LMRP) – Theory And Practice
A11725: Ambulance Billing Reminder: Hospital to Hospital Transports
A11737: Ambulance Q & A
A11764: Billing for Chiropractic Claims Showing Subluxation
A11822: Medicare to Cover Device for Treating Severe Rheumatoid Arthritis Sufferers
A11902: Billing Transmyocardial Revascularization (TMR)
A11948: Billing E/M Codes 99214 and 99233 Correctly
A11974: Medicare Modernizes the Requirements for Approval of Heart, Liver and Lung Transplantation Centers
A12086: Verteporfin Payable by Medicare
A12168: Medicare Coverage of Services for Beneficiaries Participating in Medicare Qualifying Clinical Trials
A12189: Screening Pelvic Examination Update
A15319: Implementation of the Financial Limitation for Outpatient Rehabilitation Services (Part A and B)
A15460: Positron Emission Tomography (PET) Scans Expaned Coverage
A15471: Stem Cell Transplantation
A15514: Frequently Asked Questions Medicare Part B 5/2/2003
A15518: Frequently Asked Questions Medicare Part B 5/2/2003
A15562: Clarification of Instructions & Updated Allowables for R0070 and R0075
A15567: Comparative Billing Report Reminder
A15585: ICD-9 Coding Requirements
A15599: Incident to Provision for Services and Supplies
A15607: Expanded Coverage For PET Scans
A15716: Chiropractic Therapy
A15755: AMBULANCE - LOCAL MODIFIER ‘AR’ DELETED
A15814: Billing Instructions For Claims For Ventricular Assist Devices For Beneficiaries In A Medicare+Choice Plan (Part A and B)
A15821: Modifiers for Transportation of Portable X-Rays (R0075) (Part A and B)
A15844: Lung Volume Reduction Surgery
A15852: Critical Care Focus (Part B)
A16904: Care Plan Oversight Reminders
A16928: Clarification of Mammography Annual Screening Examination
A16939: Fecal-Occult Blood Tests (FOBT)
A16943: Financial Limitation on Therapy Services
A16980: Signature Requirements
A17968: Correction – Ambulance Night Differential Charges
A18180: Coding Change for Ventricular Assist Devices (VADs) for Beneficiaries in an Medicare+Choice (M+C) Plan
A18625: Cardiac Output Monitoring By Thoracic Electrical Bioimpedance (TEB)
A18669: Intravenous Immune Globulin
A19153: Frequency Limitations for Darbepoetin Alfa (trade name Aranesp) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis (Part A and B)
A19695: Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related Macular Degeneration (AMD) (Part A and B)
A19780: Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals
A19787: Manualization of POS Code Set Program Memorandum; Revision to Group Home Code Description
A19807: Requirement for Carriers, DMERCs, FIs, and Full PSCs to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing (CERT) Contractor for Use in the Nov 2004 Improper Medicare Fee-For-Service Payments Report
A20213: Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds (Part A and B)
A20224: Payment for Chemotherapy Administration Services, Non-chemotherapy Drug Infusion Services, and Drug Injection Services (Part B)
A20236: Arrangements for Physical, Occupational, and Speech-Language Pathology Services (Part B)
A20784: Critical Care Facts
A21064: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee (Part A and B)
A21753: Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (Part A and B)
A21761: Critical Care Facts (Part B)
A21880: Nurse Practitioners as Attending Physicians in the Medicare Hospice Benefit (Part A and B)
A22932: Billing the -22 Modifier (Unusual Circumstances)
A22940: Autologous Blood-Derived Products for Chronic, Non-Healing Wounds
A22981: Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial
A22987: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
A23090: Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD (Part A and B)
A23518: Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy, Full Replacement of CR 3063
A23930: Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases
A23947: Nail Debridement Procedure Code 11721
A23952: Magnetic Resonance Spectroscopy (MRS) for Diagnosing Brain Tumors
A23957: Payment for Outpatient End Stage Renal Disease (ESRD)-Related Services
A23962: Treatment of Obesity
A23967: Percutaneous Transluminal Angioplasty (PTA)
A24050: Nail Debridement Procedure Code 11721
A25012: Podiatry: Q Modifiers Clarified
A25057: Coverage of Routine Costs of Clinical Trials Involving Investigational Device Exemption (IDE) Category A Devices
A25076: Cardiovascular Screening Blood Tests
A25104: Diabetes Screening Tests
A25111: Electrocardiographic Services
A25352: Modification to Reporting of Diagnosis Codes for Screening Mammography Claims
A25358: Update to Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases and Update for Special Payment Procedures for all PET Scan Services Performed in Critical Access Hospitals
A25555: Initial Preventive Physical Examination
A25605: Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients
A26374: Medical Review (MR) of Rural Air Ambulance Services
A33207: Infusion Pumps: C-Peptide Levels as a Criterion for Use
A33897: Expansion of Coverage for Chiropractic Services Demonstration
A33903: Expansion of Coverage for Chiropractic Services Demonstration – Information for Outpatient Hospitals and Radiologists
A33937: Medical Review – NTE Information
A34472: Billing for Hemophilia Blood Clotting Factors (Medicare Claims Processing Manual (Pub. 100-04), Chapter 17, Section 80.4)
A34488: Billing for Syringes Used in the Treatment of End Stage Renal Disease (ESRD) Patients
A34508: Expanded Coverage for PET Scans for Cervical and Other Cancers, New Coding for PET Scans, and Billing Requirements for PET Scans for Specific Indications of Cervical and Other Cancers
A34516: Widespread Probes for Surgical Debridement Codes
A34714: Abarelix for the Treatment of Prostate Cancer
A34731: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A35732: Reminder Regarding Medicare Billing Rules for Ambulance Services Rendered to Medicare Patients during an Inpatient Hospital Stay
A35860: Coverage and Billing for Ultrasonic Stimulators for Nonunion Fracture Healing
A36696: IBRITUMOMAB TIUXETAN (ZEVALIN) BILLING INSTRUCTIONS
A37257: Coverage and Billing for Ultrasonic Stimulators for Nonunion Fracture Healing
A38017: Abarelix for the Treatment of Prostate Cancer
A38883: Low Osmolar Contrast Media (LOCM): Payment Criteria and Payment Level
A38891: Medical Nutrition Therapy Services
A38942: Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers
A39219: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813); Implementation of Carrier Guidelines
A39262: Financial Liability for Services Subject to Home Health Consolidated Billing
A42037: Medical Nutrition Therapy Services Update
A42264: Auditory Osseointegrated and Auditory Brainstem Devices
A42354: Hurricanes Katrina and Rita – Transportation of Evacuees with Medical Needs
A42378: Therapy Caps to Be Effective January 1, 2006
A42455: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A42507: Therapy Caps Exception Process
A42937: Clinical Trial Reminder – Correction
A45887: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A46282: Assistants at Surgery in Teaching Hospitals
A46288: Medicare Coverage of Hyperbaric Oxygen Therapy
A46435: Medicare Coverage of Positron Emission Tomography (PET Scans)
A46721: Required Documentation Advisory
A49908: CERT Error Rates Released by CMS