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Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
An update was made to a Part B issue reflecting pending claims are now finalized and payments started with the May 11 cycle.
Find the latest Electronic Data Interchange (EDI) news, software updates, forms, and companion documents and learn how to begin submitting your claims electronically.
During the COVID-19 public health emergency (PHE), CMS allowed providers to render telehealth services from their home without reporting their home address on their Medicare enrollment while continuing to bill from their currently enrolled…
Information pertaining to anesthesia services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.
Find the latest Medicare news identified specifically for providers of cardiology services as well as helpful information, tools, and links to CMS resources pertaining to this specialty.
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Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).
Find information on vaccine payment allowances and fee schedules, links to related enrollment for mass immunizers, and more. Recent additions include upcoming vaccine administration coding updates beginning July 1, 2026, for TOFIDENCE® IV i…