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View this special edition on recent CMS actions.
To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters, effective December 1.
Beginning in 2008, CMS adjusts ASC rates for geographic differences in wages using the geographic locality definitions initially established in 2003 by the Office of Management and Budget (OMB).
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.