PC-ACE and SPOT
Learn how using these two products together can make electronic claim submission free and easy.
Articles
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Update history: LCD and article updates
View the most recent updates for our LCDs and articles. An LCD has been posted for notice to become effective May 17.
SPOT features and functionality
A complete list of features currently available in SPOT with descriptions.
Finding fee schedule policy indicators
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The code list for drugs has been updated.
Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.
Cardiac and pulmonary rehabilitation programs
Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR)...
Prompt payment interest rate revision
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect...
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...