Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check...
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Proposed 2026 Medicare allowances for portable x-ray transportation codes
Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. The comment period is...
2025 payment rates for opioid treatment program (OTP)
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2025...
UB-04 billing information
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official...
Fee development process of new drug code pricing
View this article for information regarding local contractor pricing.
Claims and appeals for CPT 93010 performed in emergency room setting
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.
Quarterly update to the Medicare Physician Fee Schedule (MPFS) - April 2025
These changes will be implemented April 7, effective for services January 1 and after.
2025 payment rates for home infusion therapy (HIT)
Download this zipped filecompressed file for the locality adjusted rates for home infusion therapy for 2025.
Federal sequestration payment reductions
Find information pertaining to the 2% reduction in Medicare payments due to sequestration.