Articles

A list of the EDI and SPOT enrollment forms.

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

PC-ACE version 6.9 is now available. Follow these instructions to complete the required quarterly upgrades or the full...

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

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