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PC-ACE version 7.0 is now available. Follow these instructions to complete the required quarterly upgrades or the full installation after initial enrollment.
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have double zeroes as a prefix (00XXXXX) should be provided with those zeroes, followed by the remaining digits. If y…
Do you know what sections of the CMS enrollment applications you must complete? Review this article to learn more.
The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data that Medicare considers when determining how the provider’s billing patterns contrast with those of other providers of the sa…
Information for independent diagnostic testing facilities, including links to NCDs, education, provider enrollment, CMS IOMs, and other resources.
View all Oncology-related articles >>
Spotlight
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
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.