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New prior authorization code lookup tool now available

May 21, 2026
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.

Appropriate use of not otherwise classified codes when billing drugs and biologicals

May 21, 2026
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not available. Review this article for proper use…

On-demand learning: Provider enrollment

May 22, 2026
View recordings of past in-house webinars on topics such as submitting applications, maintaining the enrollment record, successfully completing revalidation, and more.

On-demand learning: SPOT

May 22, 2026
View these webinar recordings on all things SPOT-related, including features and functionality, eligibility and MBI lookup, submitting electronic claims, and more.

Fix date of death errors in Medicare records

May 22, 2026
Sometimes Medicare records incorrectly show that a patient has died, or the records list the wrong date of death. When this happens, Medicare will not reimburse the claim until the records are corrected. Read this article to learn about fix…

CERT awareness month: Verify your medical records correspondence address

May 22, 2026
Read this article to learn more about the CERT awareness month campaign focusing on verifying your mailing address.

HETS-EDI enrollment tool user guide

May 22, 2026
Effective May 11, CMS requires that providers using a third-party vendor to conduct their beneficiary eligibility transactions must attest to their relationship via the HIPAA Eligibility Transaction System (HETS) EDI Enrollment Tool. Follow…

Tips to expedite the Medicare enrollment process

May 22, 2026
Helpful tips to expedite the enrollment process.

SPOT account updates

May 22, 2026
How to make changes to your existing SPOT account information using the IDM system.

COVID-19 vaccine and monoclonal antibody billing for Part A providers

May 22, 2026
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
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