Puerto Rico POE-AG minutes - November 12, 2025
Review minutes from the Part AB Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in...
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Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown
View this notice from CMS regarding Medicare operations during the government shutdown.
CERT A/B MAC Outreach & Education Task Force
The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified...
Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for...
Locate guidelines on the CMS website
A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this...
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
Recovery Audit Program
Who / what is a recovery auditor?
Cotiviti is the recovery auditor for region 3, which includes Florida, Puerto Rico, and the U...
Prevent errors on your OTP claims
Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the...