ADRs in SPOT
Use SPOT to receive and reply to medical review Additional Documentation Requests (ADRs).
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MSP billing
Read this article for more information on billing your claims when Medicare is the secondary payer.
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
Requesting SPOT end user role
New end users may follow these instructions for SPOT access AFTER their organization has been created in IDM by the organization...
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims...
SPOT backup approver instructions
Backup approvers may complete these instructions AFTER their organization's designated approver has received an approval...
Add a SPOT role
Learn how to add a new role and access another organization in SPOT as either an end user or an approver. These instructions...
Allowing electronic submission of medically denied cancel claims
To determine if a claim was medically reviewed, providers should submit the requests correctly.
End stage renal disease (ESRD) billing reminders and quarterly updates
Review this article to view common billing errors and how to review quarterly ESRD updates.
Resolve claim return reason code 34963 for outpatient therapy services
Are you providing outpatient therapy services on institutional claims and receiving reason code 34963 indicating the attending...