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In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.
Provider Outreach and Education (POE) Advisory Group (AG) meeting minutes
Jurisdiction N
Medicare Part A
View this updated listing of targeted probe and educate (TPE) review topics.
This edition includes information on fiscal year 2026 final payment rules.
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471.
This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.
View this information on MFA and instructions to register MFA devices.
List of codes that cannot be corrected using the reopening process in SPOT.
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.
View these helpful guides for tips on electronic transactions.