Electronic Billing Newsletter: Library index
View the most recent release of our Electronic Billing Newsletter. This newsletter is published quarterly and includes important...
Articles
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Tutorial: Completing the Medicare Part A redetermination and clerical error reopening request form
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
Changes to Amount in Controversy for Appeals in 2027
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial...
Screen Changes in Direct Data Entry
Effective October 1, screen changes in Direct Data Entry (DDE) have been made to the DRG/Pricer Inquiry (37) MAP1781.
Mandatory self-service clerical error reopening requests
Effective October 1 for all JN providers, Part B clerical error reopening (CERs) requests must be submitted using the SPOT...
New PS&R and MCReF sign-in experience
The CMS Identity Management system (IDM) released a new, streamlined sign-in experience, making the process more consistent no...
Fix date of death errors in Medicare records
Sometimes Medicare records incorrectly show that a patient has died, or the records list the wrong date of death. When this...
Tutorial: Completing the Medicare Part B Redetermination Request Form
To avoid processing delays, complete the Prior Authorization section of the Medicare Part B Redetermination Form only when the...
EMC Format - Importing a file
Steps to import a file into PC-ACE in the Electronic Medica Claims (EMC) format.