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The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.
View these round results for rehabilitation services outpatient.
Information pertaining to Part B rehabilitation services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.
The NCCI was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment.
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.
View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).
Approvers may follow these instructions for the required IDM annual certification needed for all SPOT end user access.
SafeGuard Services LLC (SGS) is responsible for combating and preventing fraud, waste, and abuse in the southeastern jurisdiction, which includes Alabama, Florida, Georgia, North Carolina, Puerto Rico, South Carolina, Tennessee, the U.S. Vi…
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with tips. October 2025 release details include changes to the inquiry menu. Review the change summary chart at the end…
View these recordings of past in-house webinars on all things related to evaluation and management, such as assessing needs, critical care services, incident-to services, and more.