Articles

First Coast provider outreach and education advisory groups meet at least three times per year. Meetings may be held online (e.g...

View these submission guidelines for ASC prior authorization requests.

Part A and Part B users may use the Appeals feature to submit an appeal request, and view appeals status / outcome. 

This...

To exit the PC-ACE software program 

• Click on the word File from the PC-ACE Main Toolbar and click on Exit. 

  You will be prompted...

Complete review of the eligibility feature in SPOT.

An appeal is a new and independent review of an initial determination of a claim.

Step 1: Determine whether you are submitting a

...

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...

Read the Part A first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...

Enrollment references

All organizations must submit an enrollment form and each user must register in the Identity Management...

This table of MLN Matters articles includes articles released by CMS from July through September.