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Find information regarding the appeals process, including reopenings, and overpayments. Learn how to appeal Medicare coverage and payment decisions and check status on existing appeals.
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).
CMS announces resources and flexibilities to assist with the public health emergency in the state of Texas.
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents the level of evaluation and management services (E/M) furnished during a patient’s visit.
View these helpful guides for tips on electronic transactions.
To address the growing concern over closures of rural hospitals, the Consolidated Appropriations Act of 2021 established REHs as a Medicare provider type. This article provides enrollment details and guidance from CMS.
The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.