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 ...

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 ...

On July 10, the Centers for Medicare & Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, which includes proposals related to identification of Medicare ...

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 ...

The agency will pay 340B hospitals the average sales price plus 6% for all calendar year 2022 drug claims billed with modifier -JG. Following the recent ruling on the 340B hospital reimbursement ...

On November 3, the Centers for Medicare & Medicaid Services (CMS) issued an update to its Medicare Part B drug payment policy for hospitals participating in the 340B drug pricing program and reversed ...

The Centers for Medicare & Medicaid Services (CMS) physician fee schedule tool allows healthcare professionals and community-based organizations to find payment information for many Original Medicare ...