Get the latest news regarding provider audit and reimbursement, along with forms for interim rate and periodic interim payment requests as well as statistical and reimbursement report fax sheets.
Learn about various programs which focus on ensuring Medicare compliance. Topics include: Comprehensive error rate testing (CERT), prior authorization, and targeted probe and educate.
This edition includes information on the CMS IDea challenge, COVID-19 vaccine pricing for 2025-2026, preventing claim denials for orthopedic footwear, and more.
Care management services are covered under the Medicare program. View information regarding care management services, including links to related CMS resources and references.
This edition includes information on April updates to the Medicare Physician Fee Schedule, vaccine administration national fee schedule, and other updates.