Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90999)
Review the top denial/partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.
Skilled nursing facility (SNF) 5-claim probe and educate (P&E) round results
View this article to view the results for the SNF 5-claim probe and educate (P&E).
MLN Connects for July 10, 2025
This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.
LCD interactive index - Retired
Use the LCD interactive index tool to search by LCD ID, keyword (title only), or HCPCS code to locate LCDs
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
UB-04 billing information
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official...
How can I find fees for physician fee schedule services?
Fees for fee schedule services paid under the Medicare Physician Fee Schedule (MPFS), for Part A as well as Part B available from the fees page. On the fees page, you'll also have access to:
Fee schedules
Use our interactive fee lookup tool or download data files containing the most recent fee schedule information.