Articles

A list of the EDI and SPOT enrollment forms.

Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...

CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in...

Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same...

Read this article for information about billing modifier 79.

Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization...

View the most recent updates for our LCDs and articles. The comment period for a proposed LCD is currently open and will close...

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...

Use this decision flowchart to assist in correctly applying the 57 modifier.

Read this article to learn more about CERT reviews for vaccine and roster billed claims.