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PC-ACE upgrade and installation instructions
PC-ACE version 6.9 is now available. Follow these instructions to complete the required quarterly upgrades or the full...
Hospital outpatient department (OPD) prior authorization exemption process
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...
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.
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.
Ambulance Prior Authorization Documentation Requirements
Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization...
Fast facts: CERT vaccine and roster billed claims
Read this article to learn more about CERT reviews for vaccine and roster billed claims.