Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code...

View this edition for information regarding critical access hospitals, prostate cancer screenings, and the October update of the...

Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.

This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2025...

This edition includes information on the CMS IDea challenge, COVID-19 vaccine pricing for 2025-2026, preventing claim denials...

The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.

Use this decision flowchart to assist in correctly applying the 79 modifier.

Use this decision flowchart to assist in correctly applying the 78 modifier.

Use this decision flowchart to assist in correctly applying the 58 modifier.