Tools & forms: Compliance / Review
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Articles
Article Type
Category
EDI: CMS-1450 paper claim to electronic claim crosswalk (5010)
The following article provides the requirements of the form locators within the CMS-1450 (UB-04) paper claim form and their...
PC-ACE training module: Entering a claim
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.
PC-ACE training module: Transmission
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.
Instructions for completing the EDI enrollment form for third-party provider organizations
Software vendors, billing services, and clearinghouses should complete the Electronic Data Interchange (EDI) Third Party...
Electronic filing of Medicare Part A secondary payer claims (MSP) in the 5010 format
This article contains information for filing Medicare Part A secondary payer claims (MSP)
Provider guidelines for choosing a vendor
Before selecting a vendor, the provider must examine its business needs to identify the EDI, practice management, or other...
Understanding provider statistical and reimbursement (PS&R) report registration
Direct data entry (DDE) password reset instructions
Tips for creating and resetting your DDE password.