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Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis

February 18, 2026
Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Checklist: Cardiac rehabilitation services

February 18, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

Checklist: Pulmonary rehabilitation services

February 18, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

Requesting a comparative billing report -- Part A providers

February 18, 2026
Comparative billing report (CBR) information is available to providers and suppliers by request.

Requesting a comparative billing report -- Part B providers

February 18, 2026
Complete review of the Retrieve Documents feature in SPOT.

CBR Guide - Part B

February 18, 2026
The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data that Medicare considers when determining how the provider’s billing patterns contrast with those of other providers of the sa…

Tips to prevent claim adjustment reason code (CARC) CO/PR B7

February 18, 2026
View tips to prevent this reason code.

Ambulance trip / run sheet record documentation

February 18, 2026
Read this article to learn more about ambulance trip / run sheets documentation.

Repetitive scheduled non-emergency ambulance transport prior authorization claims submission guidelines

February 18, 2026
Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior authorization of repetitive, scheduled non-emergency ambulance transports.

Billing Mpox vaccine and laboratory codes

February 18, 2026
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was updated September 6 to advise providers to include the product code on claims.
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