Inpatient hospital short stay reviews
Inpatient hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient...
MLN Connects for January 8, 2026
This edition includes information on the new CMS LEAD model, the new BALANCE model, 2026 updates, and more.
DMEPOS HCPCS codes jurisdiction list
CMS quarterly updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC...
2026 - 2027 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Review this article for the payment allowances and effective dates for the 2026-2027 flu season.
The SPOT User Guide: Section 9 - Prior Auth
Part A and B providers can easily submit their Prior Authorization Request (PAR) forms in SPOT for certain hospital outpatient...
Ambulatory surgical center (ASC) prior authorization (PA) claim submission guidelines
Prior authorization (PA) for the ASC prior authorization demonstration is voluntary. However, if a provider elects to bypass PA...
Prior authorization request (PAR) ambulatory surgical center (ASC) procedures Medicare Part B fax/mail coversheet
The PAR fax/mail coversheet for ASCs is now available for Florida ASCs participating in the ASC PA demonstration. ASCs in...
Fast facts: CERT comparative analysis reports
Read this article for information about the CERT comparative analysis reports.
CERT Insider’s Guide – Part A Fourth Quarter 2025
Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate...