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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.
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.
View the most recent release of our Electronic Billing Newsletter. This newsletter is published quarterly and includes important EDI-related articles.
Find the latest Electronic Data Interchange (EDI) news, software updates, forms, and companion documents and learn how to begin submitting your claims electronically.
Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax cover sheet.
This edition includes information on skilled nursing facility reporting, the January ASC payment update, and more.
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided the same day in the same or different hos…
View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.