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This edition includes information on PPE & Essential Medicines, DMEPOS, Hospital Price Transparency and more.
Information pertaining to Part B rehabilitation services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.
Information for independent diagnostic testing facilities, including links to NCDs, education, provider enrollment, CMS IOMs, and other resources.
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.