Understanding the PAP for certain hospital outpatient department (OPD) services
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA)...
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Freedom of Information Act requests
FOIA (Freedom of Information Act) found in Title 5 of the United States Code, section 552, and enacted in 1966, provides that...
Getting started with direct data entry (DDE)
DDE is designed for Medicare Part A providers. DDE will allow you to perform the following functions; claim entry, claim...
Florida MEDPARD table of contents
Each Medicare Participating Physician Directory (MEDPARD) shows Medicare participating providers / suppliers enrolled with First...
Puerto Rico MEDPARD table of contents
Each MEDPARD shows the Medicare participating providers / suppliers enrolled with First Coast. It is broken into two parts.
- Part...
U.S. Virgin Islands MEDPARD table of contents
Each Medicare Participating Physician Directory (MEDPARD) shows Medicare participating providers / suppliers enrolled with First...
Recovery Audit Program
Who / what is a recovery auditor?
Cotiviti is the recovery auditor for region 3, which includes Florida, Puerto Rico, and the U...
CERT A/B MAC Outreach & Education Task Force
The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified...