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View the most recent updates for our LCDs and articles. A final LCD has become effective.
This article outlines billing, payment methodology, and documentation requirements for non-sheet skin substitute products. It clarifies that the appropriate application codes must be submitted on the same claim to avoid rejection.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2026.
Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
Are you receiving additional documentation request (ADR) from SafeGuard Services LLC (SGS) or IntegriGuard? SafeGuard Services is responsible for combating and preventing fraud, waste, and abuse in the southeastern jurisdiction, which inclu…
We redesigned our provider specialty page to support independent clinical laboratory providers with accessing policy details, CLIA information, enrollment, claims submission and reimbursement tips, and other valuable resources.
Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior authorization of repetitive, scheduled non-emergency ambulance transports.
View instructions on completing the CMS-20134 enrollment application.
Access tools and forms related to the prior authorization program, CERT, and provider audit.