Part B

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A step-by-step guide to getting started submitting electronic claims for providers

The following information outlines procedures related to getting started along with additional electronic features available to EDI providers.

A step-by-step guide to getting started submitting electronic claims for third party entities

The following information outlines procedures related to getting started with EDI along with additional electronic features available to billing services, clearinghouses, and third-party vendors.

Modifier 25 fact sheet

Specific guidelines apply to the proper application and billing of modifier 25.

Education spotlight

SPOT backup approver instructions

Backup approvers may complete these instructions AFTER their organization's designated approver has received an approval communication from the SPOT Help Desk and created their organization in IDM.

A step-by-step guide to getting started submitting electronic claims for third party entities

The following information outlines procedures related to getting started with EDI along with additional electronic features available to billing services, clearinghouses, and third-party vendors.

Medicare secondary payer (MSP) billing

Read this article for more information on how to bill claims when Medicare is the secondary payer.

SPOT backup approver instructions

Backup approvers may complete these instructions AFTER their organization's designated approver has received an approval communication from the SPOT Help Desk and created their organization in IDM.

Checklist: Surgical services - Cataract extraction

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for surgical services: cataract extraction.

Checklist: Home health referrals

Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain…