Tools & forms: Compliance / Review
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Articles
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Helpful tips to expedite cost report tentative settlements – worksheet E-1, Part I
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
PC-ACE upgrade and installation instructions
PC-ACE version 6.8 is now available. Follow these instructions to complete the required quarterly upgrades or the full...
PC-ACE training module: Setting up the program
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.
Medicare remit easy print (MREP)
An updated Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) “Codes.ini” file is now available for...
A step-by-step guide to getting started submitting electronic claims for third party entities
The following information outlines procedures related to getting started with EDI along with additional electronic features...
Health care payment and remittance advice
Article includes flow of the remittance advice and links to the claims adjustment reason codes and the remittance advice remark...
Update to CARC and RARC codes for use with MREP 4.6
An updated remittance advice remark code (RARC) and claim adjustment reason code (CARC) “Codes.ini” file is now available for...
Medicare Part A DDE user guide manual
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with...