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CMS Releases Medicare FFS Billing Instructions

On June 1st, the Centers for Medicare and Medicaid Services (CMS) released a Medicare Learning Network (MLN) Matters Special Edition Article with instructions regarding when to use the “CR” modifier and “DR” condition code for billing services during the COVID-19 pandemic. Areas of interest include the face-to-face requirement for certification, billing procedures for End-Stage Renal Disease (ESRD) services when the patient is in a skilled nursing facility (SNF), and the waived requirement for the 3-day hospital stay.

Contact: Susan Chenail, schenail@leadingageny.org