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This page contains a list of current payment indicators (PI) for procedures provided in an ambulatory surgical center (ASC) as well as a link to the addenda on CMS.gov for previous years.
Learn what documentation to include when submitting a Medicare Part B appeals request.
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructions to add reassignments.
Read this article for information on vaccine fees for calendar year 2025.
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial review in federal district court. This is called the “amount in controversy.” The amount in controversy is recalculat…
This edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities, and more.
Review this information for details on the 2026 enrollment application fee.
Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.
Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.
View these submission guidelines for ASC prior authorization requests.