Disproportionate share hospital (DSH) adjustment
This briefly identifies the two methods used to determine the disproportionate share as well as the supplementary security...
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News regarding wage index and occupational mix
Read this important update regarding upcoming wage indexes and occupational mix survey data.
Submitting a provider enrollment appeal: Corrective action plan or reconsideration request
Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
Ending AX modifier requirements for acute kidney injury (AKI) and end stage renal disease (ESRD)
Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and...
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)
View TPE round results for rehabilitation services outpatient (KX modifier).
Targeted probe and educate round results: Transitional care management
Top denial/ partial denial reasons and high-level results are listed below from each round of Transitional Care Management (TCM)...
Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90999)
Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.
PC-ACE User Guide: Section 4 – Importing claims into PC-ACE from another software
Claims are introduced into PC-ACE by either entering them manually or by importing them from an external source. The claim...
Enrollment status tool: Help guide
Use this help guide for the enrollment application status tool. This versatile application allows you to check the status of...