Beneficiary-submitted claim filing instructions
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
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2024 Ambulatory Surgical Center (ASC) disclosures (revised)
View revised ASC disclosures for dates of service January 1-March 8 and March 9-December 31, 2024.
2022 contractor-priced reimbursement rates for external electrocardiographic recording codes - Puerto Rico and U.S. Virgin Islands
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
MLN Connects for August 7, 2025
This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.
Method II critical access hospitals: Reprocessing certain claims with reassigned billing rights
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007...
Critical access hospital (CAH) method II professional reassignments
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the...
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Reject reason code for Part A claims returned to a provider more than three times
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more...
Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.
Hepatitis C virus (HCV)
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.