Latest updates
MLN Connects for January 8, 2026
This edition includes information on the new CMS LEAD model, the new BALANCE model, 2026 updates, and more.
MLN Connects for January 8, 2026
This edition includes information on the new CMS LEAD model, the new BALANCE model, 2026 updates, and more.
Prior authorization request (PAR) ambulatory surgical center (ASC) procedures Medicare Part B fax/mail coversheet
The PAR fax/mail coversheet for ASCs is now available for Florida ASCs participating in the ASC PA demonstration. ASCs in Florida can submit PARs beginning on January 5, 2026, for dates of service (…
MLN Connects Special Edition for November 7, 2025
View this special edition update on processing of telehealth and acute hospital care at home claims.
MLN Connects Special Edition for November 7, 2025
View this special edition update on processing of telehealth and acute hospital care at home claims.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters, effective…
Tips to prevent claim adjustment reason code (CARC) PR 49
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
Long term care facility prospective payment system standard versus site neutral payment
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH) patients. This article provides those details.