Articles

How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.

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...

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...

View current and prior year's portable x-ray reimbursement rates.

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

CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory...

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly...