Mandatory self-service clerical error reopening requests
Effective October 1 for all JN providers, Part B clerical error reopening (CERs) requests must be submitted using the SPOT...
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Changes to amount in controversy (AIC) for appeals in 2026
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial...
Claims and appeals for CPT 93010 performed in emergency room setting
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.