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View this special edition regarding 2026 Medicare participation and the 2026 home health prospective payment system final rule.
This edition includes information on the clinical lab fee schedule, chronic care management, hospice claims billed by terminated hospices, and more.
This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to the final 2026 rates.
This page contains a list of current payment indicators (PI) for procedures provided in an ambulatory surgical center (ASC) as well as a link to the addenda on CMS.gov for previous years.
Learn what documentation to include when submitting a Medicare Part B appeals request.
Read this article for information on vaccine fees for calendar year 2025.
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial review in federal district court. This is called the “amount in controversy.” The amount in controversy is recalculat…
This edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities, and more.
Review this information for details on the 2026 enrollment application fee.
Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.