Hospital outpatient department (OPD) prior authorization exemption process
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...
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Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The code list for drugs has been updated.
Prior authorization program for repetitive, scheduled non-emergent ambulance transports (RSNAT)
CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in...
Tips to prevent reject reason code U5233
Read this article for tips on how to prevent reject reason code U5233.
Tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.
Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.
Resolution tips for overlapping claims
This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that...
Common inquiries - Part A
Reduce the time it takes to answer your Medicare question by viewing common Part A inquiries received by customer service.
Cardiac and pulmonary rehabilitation programs
Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR)...
Ambulance Prior Authorization Documentation Requirements
Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization...