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Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption would remain in effect for a 12-month peri…
View these recordings of past in-house webinars on topics such as cancer screenings, wellness visits, heart disease, and more.
CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program and how you can participate.
The code list for drugs has been updated.
A list of the EDI and SPOT enrollment forms.
View these webinar recordings on all things SPOT-related, including features and functionality, eligibility and MBI lookup, submitting electronic claims, and more.
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for endovascular cardiac valve replacement and supplement procedure (DRG 266 and 267).
View this summary for outpatient rehabilitation services (August - November 2020 and August 2021).
View this summary for psychotherapy services (December 2020 - March 2021).