Puerto Rico POE-AG meeting minutes - July 23, 2025
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in...
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Anesthesia
Information pertaining to anesthesia services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and...
Tips to prevent claim adjustment reason code (CARC) 54MUE
Read this article for tips on how to prevent claim adjustment reason code (CARC) 54MUE.
How do I enroll in Medicare so I can participate in ACCESS?
CMS is testing a new Original Medicare payment model that focuses on patient outcomes rather than the volume of services...
Stay of enrollment
Update: Providers have reported that stay of enrollment letters have been found in their spam folder when sent via email. Please...
Prior authorization program for certain hospital outpatient department services - claim submission guidelines
Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any...
PWK option allows you to submit documentation with an initial claim
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837...
Prior authorization for ambulance transports is for repetitive transports
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a...
Completing the Medicare CMS-855B enrollment application
View helpful hints for completing the CMS-855B application.