Latest Updates

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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.

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.