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In response to numerous and continued requests from the ambulance community, the Part A/B Medicare Administrative Contractors (MACs) have put together a National Part A/B MAC Ambulance Supplier Coalition. Read this article for more informat…
CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.
Complete review of the Claim submission / ERA feature in SPOT.
This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on multiple or staged procedures, as well as best practices, tips and reminders related to the PAR.
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.
This edition includes information on proposed payment rules for fiscal year 2027, events, guidance on new requirements for hospital price transparency, and more.
Review this article to learn the difference between participating and non-participating providers in the Medicare program.
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.