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Hospital outpatient department (OPD) prior authorization exemption process

March 31, 2026
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption would remain in effect for a 12-month peri…

Ambulance prior authorization - documentation checklist for medical professionals

April 13, 2026
Review this checklist to learn about the documentation requirements for medical professionals related to the repetitive, scheduled, non-emergency prior authorization program.

Ambulance prior authorization documentation requirements

April 21, 2026
Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization request (PAR) for repetitive, scheduled, non-emergency transport.

Panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy), and related services

March 16, 2026
Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy),…

Penalties for late filing

December 23, 2025
These steps are taken when you fail to file your cost report timely.

Electronic cost report exhibit templates

March 24, 2026
This is information about exhibit templates for filing a cost report in electronic format.

Updating your provider master information for PARD

March 17, 2026
This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate, tentative settlement, NPR and NOC-PR determinations.

Clarification of Medicare bad debt policy / bad debt policy related to accounts at a collection agency

December 23, 2025
This article clarifies longstanding policy concerning reimbursement for a Medicare bad debt while the account is at a collection agency.

Provider audit and reimbursement: Provider-based designation checklist

February 12, 2026
CMS has developed a standardized provider-based designation checklist.

News regarding wage index and occupational mix

March 2, 2026
Read this important update regarding upcoming wage indexes and occupational mix survey data.
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