Clinical nurse specialist (CNS)
View the requirements of becoming a clinical nurse specialist with Medicare.
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PE Gateway: Resources and contacts
View these resources and contacts for the Provider Enrollment Gateway.
New provider roadmap: Provider enrollment
View the provider enrollment section of our roadmap for new providers.
Targeted probe and educate (TPE) round results: Skilled nursing facility (SNF)
Review the top denial / partial denial reasons and high-level results of SNF TPE round results.
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.
Prior authorization of ambulance claims requires UTN in proper field
Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a...
YouTube video: Answers to your prior authorization exemption questions
Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have...