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...
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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...
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.
Medical decision making and the impact of prescription drug management
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management...
MLN Connects Newsletter for May 7, 2026
This edition includes information on Electronic Prior Authorization | GLP-1 Bridge
Health care payment and remittance advice
Article includes flow of the remittance advice and links to the claims adjustment reason codes and the remittance advice remark...
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)
View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).
POE-AG membership list -- Florida and the U.S. Virgin Islands
Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for...