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Information pertaining to ophthalmology services, including links to LCDs/NCDs, education, CMS IOMs, and other resources.
View all mental health-related articles >>
Spotlight
Part A and B providers can easily submit their Prior Authorization Request (PAR) forms in SPOT for certain hospital outpatient department services.
View contact information for the Provider Audit and Reimbursement department.
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar year (CY) 2026 final rule. This article describes the changes.
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04, chapter 4, section 250.18.
This is a central location for locating supervising physician in teaching setting information, including links to related CMS resources and references.
A self-service feature is available via the Part B interactive voice response (IVR) that allows providers / customers to request telephone reopenings on certain claims via the IVR.
View the most recent release of our Electronic Billing Newsletter. This newsletter is published quarterly and includes important EDI-related articles.