On December 13, 2017, the Centers for Medicare & Medicaid Services (“CMS”) published subregulatory guidance to answer questions about billing for drugs acquired through the 340B Drug Pricing Program ( ...

CMS has added 13 new modifiers and extended the one of one, as indicated in the January 2011 Integrated Outpatient Code Editor. Most of the new modifiers went into effect Jan. 1, but one new modifier ...

The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...

The Centers for Medicare and Medicaid Services has issued Transmittal 1867 (pdf), which is designed to help physicians, non-physician practitioners and hospitals, as well as Medicare Administrative ...

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...

PFS payments are based on the relative resources typically required to furnish the service, also known as Relative Value Units (RVUs). These RVUs become payment rates through the application of a ...

AudioEducator, a division of ProEdTech, will host a two-session Virtual Boot Camp on “CMS Modifiers: Coding, Billing, and Compliance Regulations.” When providers use modifiers incorrectly, it leads to ...