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Get the latest news regarding provider audit and reimbursement, along with forms for interim rate and periodic interim payment requests as well as statistical and reimbursement report fax sheets.
Read this article for instructions for special payment addresses and EFT.
View contact information for the Provider Audit and Reimbursement department.
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC).
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
Use the LCD interactive index tool to search by LCD ID, keyword (title only), or HCPCS code to locate LCDs
This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.
View this article to view the results for the SNF 5-claim probe and educate (P&E).
Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.
View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).