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Submission of EDI enrollment forms

April 17, 2026
EDI enrollment forms may be submitted via email or fax.

IDM: SPOT access/password help and access issues

March 12, 2026
Where to find help needed to access SPOT, including instructions if you forget your user ID or password and how to reset your password.

Ambulance modifiers

April 28, 2026
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.

EDI Gateway login and password criteria

May 13, 2026
View this help document about the EDI Gateway login ID and resetting your password.

Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

March 25, 2026
Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing instructions detailed within.

Appropriate use of assistant at surgery modifiers and payment indicators

March 25, 2026
Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).

Reminder on mandatory Medicare claim submission requirements

April 6, 2026
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.

Prolonged physician services: Hospital inpatient or observation care services

March 18, 2026
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time by at least 15 minutes on the date of service.

Modifier 25 fact sheet

March 10, 2026
Specific guidelines apply to the proper application and billing of modifier 25.

Submitting unsolicited paperwork (PWK) segments for electronic claims

March 17, 2026
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837 electronic claim. This article the steps to complete this process.
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