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Find the latest provider enrollment news as well as the forms, tools, and resources you need to become a Medicare provider and learn how to successfully complete enrollment forms the first time with helpful tips and tutorials.
This edition includes information on the Medicare Shared Savings Program, providers accepting CHAMPVA, national coverage determination 20.36, and more.
Who / what is a recovery auditor?
CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims submitted to Medicare contractors. View t…
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.
This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.
This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007 to give providers time to submit all method II reassignments to their Part A CAHs promptly. Read further to learn…