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.
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Hospital outpatient department (OPD) prior authorization exemption process
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...
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...
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)...
Ambulance Prior Authorization Documentation Requirements
Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization...
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...
Part B reimbursement fees: Transportation of portable X-ray equipment (R0070/R0075)
View current and prior year's portable x-ray reimbursement rates.
Fast facts: CERT vaccine and roster billed claims
Read this article to learn more about CERT reviews for vaccine and roster billed claims.