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Information for independent diagnostic testing facilities, including links to NCDs, education, provider enrollment, CMS IOMs, and other resources.
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Spotlight
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.
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?
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for transitional care management (TCM) services.
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.