Medical documentation checklists
Use these checklists to ensure you have met medical documentation requirements based on specific services.
HETS - EDI enrollment tool
Providers may utilize this tool attest to their relationship with a third-party entity for conducting 270/271 eligibility...
Method II critical access hospitals: Reprocessing certain claims with reassigned billing rights
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007...
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
Use this form to provide or update contact information for non-official contacts to ensure correspondence and documentation for...
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...
MLN Connects for August 7, 2025
This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.