The Office of Inspector General (OIG) uncovered overpayments in 2019 and 2020 for care provided to Medicare beneficiaries. Medicare overpaid $22.5 million in 2019 and 2020 for physician services while ...

CMS has published a MLN Matters article on the importance of coding the place of service by physicians and billing agents who submit claims to Medicare. Publication of the article comes after the OIG ...

Medical professionals aren't always thrilled by Current Procedural Terminology (CPT) code revisions, but the changes the American Medical Association is making for 2023 will result in less work for ...

CMS has identified massive incorrect use of place-of-service codes for Medicare Part B services performed in hospitals and ambulatory surgery centers, according to a report in the RAC Monitor. In a ...

Medicare groups the settings of medical procedures into two categories: facilities and non-facilities. The category determines the cost of the procedure and the reimbursement rate for doctors. Doctors ...