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Find information on global surgery billing guidance and other related resources.
View materials and listen to recordings from past meetings.
Find news about local and national coverage determinations, learn how to search the Medicare coverage database, use the procedure/diagnosis code lookup tool, and review clinical trials.
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
View targeted probe and educate (TPE) round results for 15271-15278.
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with tips. October 2025 release details include changes to the inquiry menu. Review the change summary chart at the end…
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.
Access tools and forms related to the prior authorization program, CERT, and provider audit.
This edition includes information on fiscal year 2026 final payment rules.
View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.