This edition includes information on the new ASPIRE model to deliver support to children and youth with complex medical needs, preventing claim denials for therapeutic footwear, the reprocessing of certain claims from method II critical acc…
PC-ACE version 7.0 is now available. Follow these instructions to complete the required quarterly upgrades or the full installation after initial enrollment.
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…