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View TPE round results for rehabilitation services outpatient (KX modifier).
Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.
Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
Use these self-service tools and forms related to claims.
Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and AKI claims.
Read this article for guidance for the treatment of Medicare Part C days in the calculation of a provider's Medicare disproportionate share hospital adjustment.
Use this help guide for the enrollment application status tool. This versatile application allows you to check the status of your enrollment application in the Medicare program in three ways.
This briefly identifies the two methods used to determine the disproportionate share as well as the supplementary security income updates.
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
Read about pre-market approval (PMA), PMA post-approval studies, pre-market notification (PMN) 510(k), and 510(k) post-approval extension studies guidelines related only to percutaneous transluminal angioplasty (PTA) with carotid artery ste…