Part B

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Pre-exposure Prophylaxis (PrEP) using antiretroviral therapy to prevent HIV infection

CMS has issued a final NCD for FDA-approved Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs to prevent HIV infection. Note: Local contractor pricing has been revised for code J0750. Please…

Pre-exposure Prophylaxis (PrEP) using antiretroviral therapy to prevent HIV infection

CMS has issued a final NCD for FDA-approved Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs to prevent HIV infection. Note: Local contractor pricing has been revised for code J0750. Please…

Fast facts: CERT administrative relief during a disaster

Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.

Fast facts: CERT administrative relief during a disaster

Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.

What you should do with claims returned as unprocessable

Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is filed with incomplete and/or invalid information. This article…

Customer service representatives cannot provide claim status via the toll-free service line

Service associates responding to calls via our toll-free service line are not permitted to provide claim status per Medicare regulations.

Customer service representatives cannot provide claim status via the toll-free service line

Service associates responding to calls via our toll-free service line are not permitted to provide claim status per Medicare regulations.

Telephone reopening requests via the IVR

A self-service feature is available via the Part B interactive voice response (IVR) that allows providers / customers to request telephone reopenings on certain claims via the IVR.

MLN Connects for August 21, 2025

This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.

MLN Connects for August 21, 2025

This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.