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Expedited prior authorization request hospital outpatient procedures Medicare Part A Fax/Mail Coversheet - Allowable if it is determined that a delay could seriously jeopardize the beneficiary’s life, health, or a…

The preliminary 2026 portable X-ray transportation payment rates have been posted for notice. Comments will be accepted through October 30, 2025. 

Section 4507 of the 1997 Balanced Budget Act allows a physician or practitioner to enter a private contract with a Medicare beneficiary.

The CMS sample revalidation letter offers providers the opportunity to see what they can expect to receive when it is time for them to revalidate. Access the revalidation request letter to be prepared for your revalidation.

The CMS sample revalidation letter offers providers the opportunity to see what they can expect to receive when it is time for them to revalidate. Access the stopping billing privileges letter to be prepared for your revalidation.

This SPOT form is for third-party organizations such as clearinghouses and billing services to request access to SPOT.

This form is used by a billing service or clearinghouse to set up previously enrolled providers for SPOT.

A provider may submit a waiver request to their Medicare administrative contractor (MAC) claiming an “unusual circumstance” outside of their control prevents the submission of electronic claims.

Document of established X12 error codes reported in the 5010A2 837D dental claim process including the Healthcare Claim Acknowledgement (277CA) and the Acknowledgement for Healthcare (999) response reports.

Tips from CMS for successfully clearing the remote identity proofing (RIDP) process during the SPOT role request process.