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.
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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...
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...
Clinical psychologist (CP)
View requirements for enrolling as a clinical psychologist with Medicare.
Ambulance Prior Authorization Documentation Requirements
Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization...
2026 Medicare Participation Physicians/Suppliers Directory now available
The MEDPARD is a comprehensive listing of participating providers and suppliers who have agreed to accept assignment on all...
Drugs and biologicals
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related...
Fast facts: CERT vaccine and roster billed claims
Read this article to learn more about CERT reviews for vaccine and roster billed claims.
Anesthesiologist assistant (AA)
Read this article for more information on how to get credentialed for Medicare as an anesthesiologist assistant.