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Learn what documentation to include when submitting a Medicare Part A appeals request.
This special edition includes information on lifting the current claims hold.
Read this article for information about communication impacts from the CERT contractor.
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in Spanish only.
View these round results for rehabilitation services outpatient.
View targeted probe and educate (TPE) round results for clinical laboratory services.
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.
See common definitions for claim submission types that may impact your billing.