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Review the minutes of the Puerto Rico Provider Outreach and Education meeting minutes (POE-AG) from Part A/B
View TPE round results for psychotherapy services.
View TPE round results for rehabilitation services outpatient (KX modifier).
These instructions will assist you in completing the EDI SPOT enrollment form as a provider organization.
Backup approvers may complete these instructions AFTER their organization's designated approver has received an approval communication from the SPOT Help Desk and created their organization in IDM.
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471.
View this summary for outpatient rehabilitation services (August - November 2020).
View this summary for outpatient rehabilitation services (January through August 2021).
Review the top denial/partial denial reasons and high-level results of wound debridement (CPT 11042-11045) TPE round results for December 2022 - May 2023.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for nursing home services.