Articles

Use these self-service tools and forms related to claims.

Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.

Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and...

Top denial/ partial denial reasons and high-level results are listed below from each round of Transitional Care Management (TCM)...

Claims are introduced into PC-ACE by either entering them manually or by importing them from an external source. The claim...

This edition includes information on April updates to the Medicare Physician Fee Schedule, vaccine administration national fee...

Here is a list of some of the key points for each section of the provider-based designation attestation.

This denial is received when services furnished or ordered by a chiropractor are not related to treatment by means of manual...

View details regarding specific modifiers including tips, decision flowcharts, and educational information.

This edition includes information on the CMS IDea challenge, COVID-19 vaccine pricing for 2025-2026, preventing claim denials...