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In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary...
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Election of cost reimbursement for CRNA services
This provides information about submitting election of cost reimbursement for CRNA services for rural and CAH hospitals.
Accelerated payment – Part A only
View this article for information about submissions for Part A accelerated payments.
Temporary changes to IPPS low volume payment adjustments
The temporary changes to the low-volume hospital payment adjustment originally provided by the Affordable Care Act, and extended...
ESRD low volume adjustments CY 2021
View this article for information regarding the ESRD payment changes for Medicare discharges on or after January 1, 2021.
Current and past fiscal year (FY) federal rates
View this article regarding payment changes for Medicare discharges.
Appeal tips: Documentation to include with your Part B redetermination request
Learn what documentation to include when submitting a Medicare Part B appeals request.
All inclusive payment for rural health clinics and federally qualified health centers
This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.
Outpatient prospective payment system (OPPS) for hospitals and community mental health centers (CMHCs)
This gives you a brief overview of the outpatient prospective payment system reimbursement.
Outlier payment calculation for inpatient prospective payment system (IPPS)
This defines the criteria for an outlier case and how it is computed.