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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.
CMS released a new version of Form CMS-460 (version 12/28). The former version (11/22) will no longer be accepted by the MACs after March 6, 2026. Read these instructions to complete the CMS-460 form.
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management (E/M) coding. Since 2021, the American Medical Association (AMA) and CMS have emphasized MDM (or time) as the pr…
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…
View this guide on how to use the Provider Enrollment Gateway.
Use these checklists to ensure you have met medical documentation requirements based on specific services.
Effective for dates of service on or after August 7, 2019, Medicare will pay claims from approved providers for administration of autologous T-cells expressing at least one CAR for the treatment for cancer. Article was last updated January…