Part B

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Hospital outpatient department (OPD) prior authorization exemption process

Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption…

Finding fee schedule policy indicators

How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.

Finding fee schedule policy indicators

How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.

Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims

The code list for drugs has been updated.

Preventive services: Coverage determination

Find information on local and national coverage determinations specific to preventive services.

Preventive services: Coverage determination

Find information on local and national coverage determinations specific to preventive services.

Hospital outpatient department (OPD) prior authorization exemption process

Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption…

EDI and SPOT enrollment forms

A list of the EDI and SPOT enrollment forms.

EDI and SPOT enrollment forms

A list of the EDI and SPOT enrollment forms.

POE-AG meeting minutes

Review our archive of minutes recorded from previous POE-AG meetings to find out what you missed.