Determining your Medicare effective date
Use this guide to help determine your Medicare effective date based on your applicable scenario(s).
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Part B provider enrollment reconsideration requests
CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new...
Ambulatory surgical center payment indicators
This page contains a list of current payment indicators (PI) for procedures provided in an ambulatory surgical center (ASC) as...
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...
PC-ACE training module: Entering a claim
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.
PC-ACE training module: Transmission
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.
Instructions for completing the EDI enrollment form for third-party provider organizations
Software vendors, billing services, and clearinghouses should complete the Electronic Data Interchange (EDI) Third Party...
Hospital off-campus outpatient department enrollment requirements
Read this article for information on enrolling your hospital off-campus outpatient department sites.
Electronic filing of Medicare Part A secondary payer claims (MSP) in the 5010 format
This article contains information for filing Medicare Part A secondary payer claims (MSP)
Provider guidelines for choosing a vendor
Before selecting a vendor, the provider must examine its business needs to identify the EDI, practice management, or other...