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Trump administration issues request for information, guidance to expand access to real prices.
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…
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for transitional care management (TCM) services.
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.