2023 Medicare ambulance fee schedule: Puerto Rico
Here are payment allowances for ambulance services for services provided January 1-December 31, 2023 (revised July 2023).
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2023 fee schedule updates for HCPCS 96380 and 96381 - Puerto Rico and U.S. Virgin Islands
View pricing for two new codes for administration of nirsevimab for RSV infection.
Fee schedule for administration of influenza and pneumococcal virus vaccines
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471.
SPOT approver instructions
Approvers may follow these instructions for SPOT access AFTER they have received an approval communication from the SPOT Help...
Instructions for completing the EDI SPOT enrollment form for third-party organizations
These instructions will assist billing services and clearinghouses in completing the EDI SPOT enrollment form as a third-party...
Instructions for completing the EDI SPOT enrollment form for provider organizations
These instructions will assist you in completing the EDI SPOT enrollment form as a provider organization.
Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Targeted probe and educate (TPE) round results: Diagnostic radiology (CPT 93978)
View targeted probe and educate (TPE) round results for diagnostic radiology.
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)
View TPE round results for rehabilitation services outpatient (KX modifier).
Telephone reopening requests via the IVR
A self-service feature is available via the Part B interactive voice response (IVR) that allows providers / customers to request...