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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…
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructions to add reassignments.
CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.
Review this page for First Coast Medicare EDI system status information.
View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.
Read this complete review of the Retrieve Documents feature in SPOT.
This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on multiple or staged procedures, as well as best practices, tips and reminders related to the PAR.
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.
Complete review of the Claim submission / ERA feature in SPOT.