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Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. The comment period is now closed.
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.
For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test, order, or document contributes to the comb…
Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same day.
Appropriate usage
Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden.
Read this article for helpful hints for SNF claim reviews by CERT.
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.
This special edition includes information on lifting the current claims hold.
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.