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CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two phases.
This edition includes information on the CMS rule of phasing out fax machines and snail mail, the April update to the Medicare Part B drug pricing files and revisions, the April update to the hospital outpatient prospective payment system,…
During the COVID-19 public health emergency (PHE), CMS allowed providers to render telehealth services from their home without reporting their home address on their Medicare enrollment while continuing to bill from their currently enrolled…
To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters.
There will be Common Working File (CWF) "dark days" Friday, April 3, through Sunday, April 5, affecting the IVR.
View this article for instructions on how and when to use modifier 77.
Use this decision flowchart to assist in correctly applying the 25 modifier.
Our Medicare Navigator Program is back with webinars focused on supporting providers to successfully navigate Medicare program requirements and submit complete, accurate transactions. April’s Medicare Navigator Program spotlights Part A bil…
Read this article to learn more about CERT reviews for vaccine and roster billed claims.
Read this article for more information on how to get credentialed for Medicare as an anesthesiologist assistant.