Latest Updates

The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial review in federal district court. This is called the “amount in controversy.…

Complete review of the Submit Documents feature in SPOT.

The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial review in federal district court. This is called the “amount in controversy.…

PC-ACE version 7.2 is now available. Follow these instructions to complete the required quarterly upgrades or the full installation after initial enrollment.

PC-ACE version 7.2 is now available. Follow these instructions to complete the required quarterly upgrades or the full installation after initial enrollment.

Effective October 1, screen changes in Direct Data Entry (DDE) have been made to the DRG/Pricer Inquiry (37) MAP1781.

Thanks for joining us! As the September Medicare Navigator Part A Billing Workshop Series wraps up, we hope you found value in these sessions. Missed one? Recordings will be available soon - stay…

This edition includes information on laboratory testing, laboratory NCD edit software update, and more.

This edition includes information on laboratory testing, laboratory NCD edit software update, and more.

To avoid processing delays, complete the Prior Authorization section of the Medicare Part B Redetermination Form only when the claim is associated with a Prior Authorization service. The “If this…