Eligibility elimination from the IVR
The option to obtain patient eligibility information from the interactive voice response (IVR) system is being eliminated...
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Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug...
Clinicians - Are you ordering wheelchair options and accessories for your patients?
Read about the criteria for ordering wheelchair options and accessories for Medicare patients.
PC-ACE user guide index
Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.
Completing the revalidation process
At some point, all Medicare providers/suppliers will be asked to revalidate Medicare enrollment information. Have you been sent...
Understanding prior authorization (PA) for certain hospital outpatient department (OPD) services
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA)...
Current processing issues for Part A and Part B
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Botulinum toxin injections
Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and...
Understanding repetitive scheduled non-emergent ambulance transports
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.