Part B

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Post-payment service-specific reviews

Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically reasonable and necessary.

Ambulance trip / run sheet record documentation

Read this article to learn more about ambulance trip / run sheets documentation.

Ambulance trip / run sheet record documentation

Read this article to learn more about ambulance trip / run sheets documentation.

Checklist: Pulmonary rehabilitation services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.

Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.

New provider roadmap: Provider enrollment 

View the provider enrollment section of our roadmap for new providers.

Ambulance transport - multiple patients

Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.

Ambulance transport - multiple patients

Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.

New provider roadmap: Provider enrollment 

View the provider enrollment section of our roadmap for new providers.