First Coast is receiving first-level appeals (redeterminations) based on claim denials for providers not including the ordering psychiatrist on the claim when billing for transcranial magnetic stimulation (TMS). Read this article to learn m…
This edition includes information on the PEPPER relaunch for all facility types, DMEPOS benefit category determinations, the ebola disease outbreak, and more.
CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two phases.
The IVR operating guide will help to increase your knowledge of the technology and services we offer providers on our interactive voice response system.