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  • Posts tagged "Medicare Reimbursement"

Posts tagged "Medicare Reimbursement"

What is PECOS and its 7 Key Benefits?

January 31, 2026 / admin / Articles, Centers for Medicare & Medicaid Services, CMS, Medical Credentialing, Medicare, Medicare Billing, Medicare Enrollment, Medicare Fraud, Medicare In-Network, Medicare PECOS, Medicare Reimbursement, PECOS, PECOS 2.0
Female Medical Doctor PECOS User

Staying on top of enrollment requirements is essential for keeping a medical practice running smoothly. PECOS has become the backbone of Medicare enrollment, replacing outdated paper processes with a streamlined digital system. Beyond just being a requirement, PECOS offers real advantages that can save you time, reduce headaches, and protect your practice. Below, we document […]

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Centers for Medicare & Medicaid Services, CMS, Medicare, Medicare Billing, Medicare Credentialing, Medicare Enrollment, Medicare In-Network, Medicare PECOS, Medicare Reimbursement, PECOS, PECOS 2.0

PECOS 2.0: Medicare Enrollment Gets a Major Upgrade

November 20, 2025 / admin / Articles, Centers for Medicare & Medicaid Services, CMS, Medicare, Medicare Billing, Medicare Credentialing, Medicare Enrollment, Medicare In-Network, Medicare PECOS, Medicare Reimbursement, PECOS, PECOS 2.0
Female Medical Doctor PECOS User

The moment healthcare providers have been waiting for has arrived. After years of anticipation, CMS has officially launched PECOS 2.0, bringing a completely redesigned approach to Medicare enrollment and revalidation. This isn’t just a minor update to the old system, it’s a ground-up transformation that affects every aspect of how providers join and maintain their […]

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Centers for Medicare & Medicaid Services, CMS, Medicare, Medicare Billing, Medicare Credentialing, Medicare Enrollment, Medicare In-Network, Medicare PECOS, Medicare Reimbursement, PECOS, PECOS 2.0

How Does Medicare Reimbursement Work for Toxicology Testing?

April 5, 2024 / admin / Articles, Billing, Billing Services, GC/MS, LC/MS, Toxicology Billing, Toxicology Lab Billing, Toxicology Labs, Toxicology Medicare Reimbursement, Toxicology Reimbursement Denial, Toxicology Testing, Toxicology Tests
Toxicology Test Reimbursement

Let’s talk about getting reimbursed by Medicare for toxicology tests, those tests that check for drugs or other harmful substances in someone’s body. It can be a confusing process with lots of rules and hoops to jump through. I’m going to break it down simply so you know what to expect. Understanding Medicare Coverage for […]

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Advanced Beneficiary Notice, G0480, G0481, G0482, G0659, G0660, GC/MS, LC/MS, Medicare Coverage for Toxicology Tests, Medicare Reimbursement, Toxicology Billing, Toxicology Medicare, Toxicology Medicare Reimbursement, Toxicology Reimbursement Denial, Toxicology Testing, Toxicology Tests

Medicare Reimbursement: Understanding the Labyrinth

April 3, 2024 / admin / Articles, Geographical Practice Cost Index, Inpatient Prospective Payment System, IPPS, Medicare, Medicare Coverage, Medicare Reimbursement, Medicare Severity Diagnosis Related Groups, MS-DRG, OPPS, PPS, Prospective Payment Systems
Medicare Labyrinth

If you’re a healthcare provider or facility dealing with Medicare, one thing is certain, getting properly reimbursed is a maze filled with complex rules, convoluted paperwork, and often, sheer frustration. Medicare reimbursement is the lifeblood that keeps many healthcare operations afloat, but navigating its serpentine pathways can feel like a daily battle. Buckle up as […]

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APC, APCs, CMS, Geographical Practice Cost Index, Healthcare, Healthcare Billing, Inpatient Prospective Payment System, IPPS, Medical, Medical Billing, Medicare, Medicare Billing, Medicare Part A, Medicare Part B, Medicare Part C, Medicare Part D, Medicare Physician Fee Schedule, Medicare Reimbursement, Medicare Severity Diagnosis Related Groups, MIPS, MS-DRG, OPPS, Prospective Payment Systems, Revenue Cycle, Revenue Cycle Management

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  • Orthopedic & Rheumatology
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  • Geriatric Medicine
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  • Toxicology
  • Allergy Testing
  • Oncology
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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Radiology
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Orthopedic & Rheumatology
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics & Specialty Drugs
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • CAQH Profile Current -- Two Doctors

    Common CAQH Application Mistakes

  • Telehealth Credentialing: Pretty, Black Female Credentialer

    Case Study: A Six-State Telehealth Credentialing Challenge

  • Doctors Adopting Value-Based Care

    How Value-Based Care Reimbursement Works for Clinics and Hospitals

  • White Male Medical Doctor Looking at Healthcare Regulatory Updates

    Regulatory Deep Dives: Managing Healthcare Policy Changes

  • Female Medical Doctor PECOS User

    What is PECOS and its 7 Key Benefits?

  • In-House vs. Outsourced Credentialing. Two scenarios.

    Cost-Benefit Analysis: In-House vs. Outsourced Credentialing

  • Payer Contracting Experts Talking in a Healthcare Group HQ

    Payer Contracting: Maximize Your Rates

  • Credentialing Workflow Expert, a Latino Male Credentialer

    Smarter Workflows Reduce Credentialing Turnaround Time

  • Healthcare Organization Admins Talking, Walking

    ERAs vs. Real-Time Claim Status Checks: What’s the Difference?

  • Modifier 59 on screen, female medical coder

    How to Use Modifier 59 Correctly

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