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Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.

View TPE round results for wound debridement (CPT 11102-11103, 11200-11201, 11300-11303, 11305-11313 and 11401-11406, 11421...

View targeted probe and educate (TPE) round results for nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 &...

View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

List of codes that cannot be corrected using the reopening process in SPOT.

Use these self-service tools and forms related to EDI and SPOT.

View these instructions for the CMS-588 application.

This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage...

Information for independent diagnostic testing facilities, including links to NCDs, education, provider enrollment, CMS IOMs...

IDTFs are required to report the exact CPT/HCPCS codes and procedures they intend to perform when enrolling with the CMS-855B...