Provider contact center (PCC) closures
The PCC is closed certain days for training. View the upcoming closure days and times.
Articles
Article Type
Category
ADRs in SPOT
Use SPOT to receive and reply to medical review Additional Documentation Requests (ADRs).
ACCESS model HCPCS G-code allowed amounts
Pricing information is now available for new HCPCS codes payable under Medicare when furnished for the Advancing Chronic Care...
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The drug codes list and radiopharmaceutical codes lists have been updated.
Update history: LCD and article updates
View the most recent updates for our LCDs and articles.
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims...
MLN Connects for June 25, 2026
This edition includes information on the PEPPER relaunch, understanding the telehealth enrollment guide, preventing claim...
Hospital off-campus outpatient department reporting requirements
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code...