JN
Ending AX modifier requirements for acute kidney injury (AKI) and end stage renal disease (ESRD)
Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and AKI claims.
PE Gateway: Resources and contacts
View these resources and contacts for the Provider Enrollment Gateway.
Targeted probe and educate round results: Transitional care management
Top denial/ partial denial reasons and high-level results are listed below from each round of Transitional Care Management (TCM) services TPE reviews that have been conducted thus far by Medical…
Targeted probe and educate round results: Transitional care management
Top denial/ partial denial reasons and high-level results are listed below from each round of Transitional Care Management (TCM) services TPE reviews that have been conducted thus far by Medical…
PE Gateway: Resources and contacts
View these resources and contacts for the Provider Enrollment Gateway.
Submitting a provider enrollment appeal: Corrective action plan or reconsideration request
Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
PC-ACE User Guide: Section 4 – Importing claims into PC-ACE from another software
Claims are introduced into PC-ACE by either entering them manually or by importing them from an external source. The claim import method is ideal for facilities that maintain their claims in an…
Submitting a provider enrollment appeal: Corrective action plan or reconsideration request
Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90999)
Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.