Minutes of the Puerto Rico Provider Outreach and Education Advisory Group (POE-AG)
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Articles
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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...
Modifier 66 fact sheet
Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same...