Eligibility elimination from the IVR
The option to obtain patient eligibility information from the interactive voice response (IVR) system was eliminated on December...
Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug...
PC-ACE user guide index
Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.
Limited system availability Friday, January 2 through Sunday, January 4
Common working file "dark days will be Friday, January 2, through Sunday, January 4.
Provider enrollment application fee: CY 2026
Review this information for details on the 2026 enrollment application fee.
MLN Connects for December 18, 2025
This edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities...
Changes to amount in controversy (AIC) for appeals in 2026
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial...
2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Read this article for information on vaccine fees for calendar year 2025.
Critical access hospital (CAH) method II professional reassignment deadline is January 1
CAHs using method II may bill for professional services only when physicians or practitioners reassign their benefits to the CAH...
MLN Connects for December 11, 2025
This edition includes information on the 2026 institutional provider enrollment application fee, the 2026 clinical laboratory...