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View targeted probe and educate (TPE) round one results for rehabilitation services.
View targeted probe and educate (TPE) for surgical services - cataract extraction (CPT 66982-66984).
View targeted probe and educate (TPE) round results for 15271-15278.
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with tips. October 2025 release details include changes to the inquiry menu. Review the change summary chart at the end…
This edition includes information on a 2026 proposed physician payment rule and information on expanded access to gene therapies.
Here are additional educational resources identified specifically for mental health services.
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.
Access tools and forms related to the prior authorization program, CERT, and provider audit.
This edition includes information on fiscal year 2026 final payment rules.