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 ( ...

Please provide your email address to receive an email when new articles are posted on . CMS has announced expanded coverage for specific colorectal cancer screening tests by lowering the minimum age ...

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 ...

Auditing modifiers--the two-digit codes attached to procedure codes to alter their descriptions--plays a key part in verifying that claims for healthcare services were filed accurately and processed ...

Aetna will no longer provide additional payment for physical status modifier 3-5 on anesthesia claims, according to an April 19 post by medical revenue cycle management group Coronis Health. Effective ...