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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.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for chronic care management (CCM) services.

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

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

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for chronic care management (CCM) services.

Information pertaining to Part A hospitals - Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOMs).

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

Medicare pays for services and supplies that are furnished incident to a physician’s or other practitioner’s services, are commonly included in the physician’s or practitioner’s bills, and for which…

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…

View CAC meeting minutes from our meeting on February 19, 2026, on the use of urine-based biomarkers in patients with microhematuria.