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Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.
View the most recent articles released by CMS.
View the most recent updates for our LCDs and articles. A final LCD has become effective.
View these round results for rehabilitation services outpatient.
View targeted probe and educate (TPE) round results for clinical laboratory services.
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.
See common definitions for claim submission types that may impact your billing.
Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.
This article outlines billing, payment methodology, and documentation requirements for non-sheet skin substitute products. It clarifies that the appropriate application codes must be submitted on the same claim to avoid rejection.