Articles

To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit...

Complete review of the Claim submission / ERA feature in SPOT.

This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on...

CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or...

View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.

View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.

This table of MLN Matters articles includes articles released by CMS from April to June.

This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.

View revised ASC disclosures for dates of service January 1-March 8 and March 9-December 31, 2024.