Medical Payers & Insurance Companies
articles, webinars, tips, links, forms, files and other resources related to coding, reimbursement and compliance for medical payers and insurance companies
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Jul 10th, 2025
2025-07-10-MLNC
by CMS - MLNConnects
Medicare Improperly Paid Suppliers for Intermittent Urinary Catheters - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation...
by Ronald Hirsch, MD FACP CHCQM CHRI
Today, in utilization news, there is a warning to any surgeons who may be reading this – or anyone who works with surgeons. You may see new efforts by the Centers for Medicare & Medicaid Services (CMS) to lower your fees in coming years. We have all heard about...
Jul 7th, 2025
2025-06-26-MLNC
by CMS - MLNConnects
Commodes, Bed Pans & Urinals: Prevent Claim Denials Claims, Pricers & Codes Integrated Outpatient Code Editor Version 26.2 - Medical Education: Don’t Submit Claims for Programs of All-Inclusive Care for the Elderly - MLN Matters® Articles DMEPOS Fee Schedule: July 2025 Quarterly Update Publications...
Jul 7th, 2025
2025-07-03-MLNC
by CMS - MLNConnects
CMS Screening, Brief Intervention & Referral to Treatment (SBIRT) Services — Revised; CMS Notifies Individuals Potentially Impacted by Data Incident; CMS Launches New Model to Target Wasteful, Inappropriate Services in Original Medicare
Jun 18th, 2025
MLNConnects - 2025-06-12
by CMS - MLNConnects
Mechanical Ventilation: Bill Correctly for Inpatient Claims - SNF Services: Prevent Claim Denials MLN Matters® Articles - Ambulatory Surgical Center...
Jun 9th, 2025
Measles Coding Considerations
by Christine Geiger, MA, RHIA, CCS, CRC
Considering the increase in measles cases in the United States and globally, it is a great time to review how we code for this condition. According to Centers for Disease Control and Prevention (CDC) data, updated on May 30, so far this year we have had 1,088 domestic measles...
Jun 9th, 2025
Medical Coding Haemophilus Influenzae
by Janine Mothershed
Here's a clear and thorough guide for medical coding and billing for Haemophilus influenzae (H. influenzae) — not to be confused with the flu (influenza virus). This bacterium can cause serious invasive diseases like meningitis, epiglottitis, pneumonia, and sepsis. Common ICD-10 Diagnosis Codes: - A41.3...
by Christine Geiger, MA, RHIA, CCS, CRC
Continuing our look at areas where we see confusion we will examine the assignment of the long term use codes for anticoagulants versus antithrombotics/antiplatelets. GoodRx.com, in an article titled, “Antiplatelet vs. Anticoagulant Blood Thinners – 4 Things to Know,” details the basics coders need to keep in mind when...
May 12th, 2025
MLN Connects Newsletter
by CMS - MLNConnects
Walkers: Prevent Claim Denials - Medicare Preventive Services — Revised
Feb 12th, 2025
Dental Claims Requiring Use of ICD-10-CM Codes
by Christine Taxin, President - Links2Success
Dental claims now require the use of ICD-10-CM codes. Several states (e.g., Arizona) have begun to mandate that diagnosis codes be reported along with dental codes on claim forms.
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