Eligibility elimination from the IVR
The option to obtain patient eligibility information from the interactive voice response (IVR) system was eliminated on December...
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Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug...
PC-ACE user guide index
Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.
Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in...
Limited system availability Friday, January 2 through Sunday, January 4
Common working file "dark days will be Friday, January 2, through Sunday, January 4.
On-demand learning: Specialty services
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology...
On-demand learning: Medical review & prior authorizations
View these recordings of past in-house webinars, including topics such as understanding LCDs, LCD additions and revisions, the...
On-demand learning: Billing & appeals
These recordings of past in-house webinars include topics like modifiers, hospital outpatient services, overpayment requirements...
Skilled nursing facilities (SNF) January 1 revalidation deadline indefinitely suspended
Read for information regarding SNF revalidation deadline suspension.
Provider enrollment application fee: CY 2026
Review this information for details on the 2026 enrollment application fee.