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View this special edition regarding a claims hold update and an NCCI alert.
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…
This table of MLN Matters articles includes articles released by CMS from January-March.
View this information regarding excluded self-administered injectable drugs.
The Medicare Learning Network is the brand name for official CMS national provider education products designed to promote national consistency of Medicare provider information.
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Medicare Advantage (MA) supplemental wrap-around payments -- reason code 37098 for federally qualified Health centers (FQHCs) that have a written contract with an MA organization.
These steps are taken when you fail to file your cost report timely.
View this information regarding requests for RHC and FQHC lump sum payments in advance due to COVID-19.
View various sections of the Provider Reimbursement Manual applicable to audit and reimbursement.