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The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.
This edition includes information on preventing claim denials for ostomy supplies, revised ZIP code files for CBSAs, chronic care management services, and more.
Learn how to request a reopening of your Part A claim that is past the 12-month timely filing provision.
Please take a moment to complete our customer service satisfaction survey when calling the Provider Contact Center.
This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of parenteral nutrition.
CMS allows programmatic waivers for impacted states under Section 1135 of the Social Security Act (SSA) for declared emergencies.
View this special edition regarding a claims hold update and an NCCI alert.
Learn what documentation to include when submitting a Medicare Part A appeals request.
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
This special edition includes information on lifting the current claims hold.