Minutes of the Puerto Rico Provider Outreach and Education Advisory Group (POE-AG)
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PC-ACE user guide index
Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.
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...
The SPOT User Guide: Section 7 - Claim submission / ERA
Complete review of the Claim submission / ERA feature in SPOT.
Drugs and biologicals
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related...
Prior authorization (PA) program for certain hospital outpatient department (OPD) services - submitting the prior authorization request (PAR)
This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on...
The SPOT User Guide: Section 10 - Retrieve Documents
Read this complete review of the Retrieve Documents feature in SPOT.
Prior authorization program for certain hospital outpatient department services
CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or...
Completing the Medicare CMS-855A enrollment application for institutional providers
View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.
Clinical nurse specialist (CNS)
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.