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To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters, effective December 1.
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test, order, or document contributes to the comb…
Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden.
Read this article for helpful hints for SNF claim reviews by CERT.
This special edition includes information on lifting the current claims hold.
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.
Use this guide to learn about the HETS-EDI enrollment tool (HEET).
This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of parenteral nutrition.
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.