HETS - EDI enrollment tool
Providers may utilize this tool attest to their relationship with a third-party entity for conducting 270/271 eligibility...
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file
Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X...
Critical access hospital (CAH) method II professional reassignments
CMS has issued new instructions concerning the Fiscal Intermediary Shared System (FISS) reason codes 31006 and 31007 for Method...
MLN Connects for August 21, 2025
This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care...
Medical decision making and the impact of prescription drug management
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management...
MLN Connects for August 14, 2025
MLN Connects for Thursday, August 14, 2025
News
- FY 2026 SNF VBP Program: Download Your August 2025 Performance Score Reports
Compl
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Provider audit master information form
This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate...
Mandatory renewed advance beneficiary notice of non-coverage
ABN Alert: Renewed advance beneficiary notice of non-coverage became mandatory on June 30, 2023
The ABN, Form CMS-R-131, and form...
Attention exempt hospital outpatient departments (OPDs): Revised additional documentation request (ADR) letters
Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax...