Activation of systematic validation edits for OPPS providers with multiple service locations
This article is for the activation of systemic edits for outpatient prospective payment system (OPPS) providers that have...
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Medicare enrollment in PECOS: Faster & easier application process -- coming soon
Coming soon: A faster and easier PECOS application. Read on for more information.
Dental services coverage
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this...
Revalidation overview
Read this article for information on Medicare revalidation.
PC-ACE training module: Setting up the program
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.
New provider roadmap: Appeals
An appeal is a new and independent review of an initial determination of a claim.
Step 1: Determine whether you are submitting a
...
Fast facts: Skilled nursing facility (SNF) helpful hints
Read this article for helpful hints for SNF claim reviews by CERT.
PC-ACE User Guide: Section 3 - Enter a Medicare secondary claim
The following instructions are for entering a claim with Medicare as the secondary payer. For more information on billing...
Breakdown of common Minimum Data Set (MDS) errors: Sections D - E - GG
Sections D - E - GG
Section D: Mood
D0150 Resident Mood Interview (PHQ-2 to 9©)
- Supportive documentation within the record; nurse...