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This edition includes information on preventing claim denials for psychiatric care, MPFS July update, skilled nursing facility Part D payments, and more.
This edition includes information on the Medicare Shared Savings Program, providers accepting CHAMPVA, national coverage determination 20.36, and more.
Who / what is a recovery auditor?
View instructions on completing the CMS-20134 enrollment application.
Access tools and forms related to the prior authorization program, CERT, and provider audit.
This edition includes information on fiscal year 2026 final payment rules.
View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.
This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management (E/M) coding. Since 2021, the American Medical Association (AMA) and CMS have emphasized MDM (or time) as the pr…