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Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
Use these self-service tools and forms related to claims.
Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and AKI claims.
Read this article for guidance for the treatment of Medicare Part C days in the calculation of a provider's Medicare disproportionate share hospital adjustment.
This briefly identifies the two methods used to determine the disproportionate share as well as the supplementary security income updates.
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
This denial is received when services furnished or ordered by a chiropractor are not related to treatment by means of manual manipulation of the spine to correct a subluxation and/or the claim submitted does not meet the requirements. Read…
Read this important update regarding upcoming wage indexes and occupational mix survey data.
Read about pre-market approval (PMA), PMA post-approval studies, pre-market notification (PMN) 510(k), and 510(k) post-approval extension studies guidelines related only to percutaneous transluminal angioplasty (PTA) with carotid artery ste…
View the most recent articles released by CMS in January and February.