HETS-EDI enrollment tool user guide
As announced by CMS on April 23, providers using a third-party vendor to conduct their beneficiary eligibility transactions must...
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All inclusive payment for rural health clinics and federally qualified health centers
This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.
PC-ACE training module: Setting up the program - Part A
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.
Medicare Part A DDE user guide manual
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with...
Tools & forms: Compliance / Review
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Outpatient prospective payment system (OPPS) for hospitals and community mental health centers (CMHCs)
This gives you a brief overview of the outpatient prospective payment system reimbursement.
Helpful tips to expedite cost report tentative settlements – worksheet E-1, Part I
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
SSI ratio realignment for cost reporting periods starting before October 1, 2013
This pertains to submitting SSI ratio realignment requests to First Coast.
Home office cost statement (HOCS)
This indicates that CMS Form-287 or an alternative reporting format may be used to meet the needs of the individual home office...