Ambulatory surgical center (ASC) prior authorization request (PAR) submission guidelines
View these submission guidelines for ASC prior authorization requests.
CERT Insider's Guide - Part B 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...
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 reassignments
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the...
MLN Connects for December 11, 2025
This edition includes information on the 2026 institutional provider enrollment application fee, the 2026 clinical laboratory...
Your feedback is important to us
View this page to see how your feedback has led to improvements. We encourage you to continue to share your thoughts which helps...
Ambulatory surgical center payment indicators
This page contains a list of current payment indicators (PI) for procedures provided in an ambulatory surgical center (ASC) as...