Minutes of the Puerto Rico Provider Outreach and Education Advisory Group (POE-AG)
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MLN Connects for April 2, 2026
This edition includes information on the new ASPIRE model to deliver support to children and youth with complex medical needs...
Targeted probe and educate (TPE) round results: Evaluation and management services - outpatient office visits
View TPE round results for evaluation and management services - outpatient office visits.
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)
View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).
Hospital outpatient department (OPD) prior authorization exemption process
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...
On-demand learning: SPOT
View these webinar recordings on all things SPOT-related, including features and functionality, eligibility and MBI lookup...
On-demand learning: Billing & appeals
These recordings of past in-house webinars include topics like modifiers, hospital outpatient services, overpayment requirements...
On-demand learning: Preventive services
View these recordings of past in-house webinars on topics such as cancer screenings, wellness visits, heart disease, and more.
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...
MLN Connects for February 28, 2025
Hospitals: Actions to Make Healthcare Prices Transparent
Update: On February 25, the White House issued an Executive Order to...