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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.
This edition includes information on the CMS rule of phasing out fax machines and snail mail, the April update to the Medicare Part B drug pricing files and revisions, the April update to the hospital outpatient prospective payment system,…
During the COVID-19 public health emergency (PHE), CMS allowed providers to render telehealth services from their home without reporting their home address on their Medicare enrollment while continuing to bill from their currently enrolled…
There could be several reasons why your claim was denied or otherwise did not process successfully. Use these available resources to identify claims processing codes.
Overview of periodic interim payments (PIP) and non-PIP bi-weekly payments for acute care hospitals.
View the FY27 wage index home page to find the timetable and PUF
This is a brief overview of the reimbursement for LTCH PPS.
View these available resources for guidance on E/M services.
Where to find help needed to access SPOT, including instructions if you forget your user ID or password and how to reset your password.
Who / what is a recovery auditor?