Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)
View TPE round results for rehabilitation services outpatient (KX modifier).
Telephone reopening requests via the IVR
A self-service feature is available via the Part B interactive voice response (IVR) that allows providers / customers to request...
Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)
View TPE round results for psychotherapy services.
Instructions for completing the EDI enrollment form for third-party provider organizations
Software vendors, billing services, and clearinghouses should complete the Electronic Data Interchange (EDI) Third Party...
Instructions for completing the SPOT submitter ID update request form
These instructions will assist you in completing the SPOT Submitter ID Update Request Form FP167P (R2-23) - used for making...
Restricted codes for claim reopenings
List of codes that cannot be corrected using the reopening process in SPOT.
Instructions for completing the EDI enrollment form for providers
These instructions will assist you in completing the EDI enrollment form (8292).
Customer service representatives cannot provide claim status via the toll-free service line
Service associates responding to calls via our toll-free service line are not permitted to provide claim status per Medicare...
Checklist: Skin lesion removal
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Checklist: Percutaneous intracardiac procedures
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...