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Flowcharts for new LCD and LCD reconsideration requests to provide step-by-step instructions of the processes.
Learn how to request modifications to any section of an existing LCD with this informative guide.
There will be Common Working File (CWF) "dark days" Friday, April 3, through Sunday, April 5, affecting the IVR.
Effective April 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which codes are affected and the new amounts.
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,…
This content is only available in Spanish.
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.
This edition includes information on the new ASPIRE model to deliver support to children and youth with complex medical needs, preventing claim denials for therapeutic footwear, the reprocessing of certain claims from method II critical acc…
This edition includes information on proposed payment rules for fiscal year 2027, events, guidance on new requirements for hospital price transparency, and more.