Updated on March 20, 2023 | CMS had ordered a pause on out-of-network payment dispute processing while it rehashed guidance in accordance to an early February court decision.

CMS released compliance tips for pre-entitlement billing in a recent edition of its MLN Connects® newsletter. ... CMS releases guidance on pre-entitlement billing. By NAHRI | August 08, 2023.

The CMS notes that healthcare professionals should use the HCPCS code J0897 for Prolia claims submitted for Original Medicare (Part A and Part B). However, coding and billing guidelines may vary.

CMS Releases Fact Sheets On COVID-19 Medicare Coverage, Billing Guidelines. by: ... U0002, for billing COVID-19 diagnostic tests. Medicare will accept claims with U0001 and U0002 starting on April ...

Medicare-certified skilled nursing facilities (SNFs) facing burdensome new ownership-related disclosure requirements got some ...

Texas docs' 4th courtroom win over HHS interrupts out-of-network billing arbitration yet again. Aug. 28 The Texas Medical Association (TMA) is now 4-0 on its legal challenges to the Biden ...

New CMS guidance on the issue is scheduled to go into effect March 24. ... Billing CMS LTC Newsletter Daily Update Top Stories 2 LTC Newsletter Weekly Roundup Week in Review.