Part B

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Hospice: New requirement for physicians who certify patient eligibility

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or…

Hospice: New requirement for physicians who certify patient eligibility

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or…

Targeted probe and educate (TPE) round results: Evaluation and management services - outpatient office visits

View TPE round results for evaluation and management services - outpatient office visits.

Targeted probe and educate (TPE) round results: Evaluation and management services – emergency department visits

Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency department visits TPE round results.

Medicare remit easy print (MREP)

View this information on the free software provided by CMS for viewing and printing electronic remittance advice (ERA).

Mailing addresses for certain medical documentation requests have changed

To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.

MLN Connects Special Edition for April 13, 2026

This special edition includes information on 2027 proposed rules as well as CMS' proposed reforms to speed up patient access to drugs, increase transparency, and reduce administrative burden.

MLN Connects Special Edition for April 13, 2026

This special edition includes information on 2027 proposed rules as well as CMS' proposed reforms to speed up patient access to drugs, increase transparency, and reduce administrative burden.

Mailing addresses for certain medical documentation requests have changed

To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.

The SPOT User Guide: Section 6 - Appeals

View this complete review of the appeal features in SPOT.