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Read this article for information about the CERT comparative analysis reports.
Prior authorization (PA) for the ASC prior authorization demonstration is voluntary. However, if a provider elects to bypass PA, applicable ASC claims will be subject to prepayment medical review.
Here are key steps to take if you receive an ASCA enforcement review letter.
The PAR fax/mail coversheet for ASCs is now available for Florida ASCs participating in the ASC PA demonstration. ASCs in Florida can submit PARs beginning on January 5, 2026, for dates of service (DOS) on or after January 19, 2026.
Multi-jurisdictional CAC meeting minutes
This identifies when a provider seeks a determination of provider-based status for a facility that is located on the main campus.
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the reasonable and necessary definition.
Medicare Part B covers various colorectal cancer (CRC) screening tests furnished to individuals for the purpose of early detection of colon cancer. Learn more about these lifesaving preventive services.
EDI Services generates multiple reports to assist you in easily tracking your electronic claims. These reports represent different rejection levels and are available to you as quickly as possible.
The PC-ACE List Claim form provides a versatile interface from which the user can create, list, modify, print, and otherwise maintain claims.