Hospital outpatient department (OPD) prior authorization exemption process
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...
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Repetitive scheduled non-emergency ambulance transport prior authorization claims submission guidelines
Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior...
Medicare secondary payer (MSP) billing
Read this article for more information on how to bill claims when Medicare is the secondary payer.
Change of practice address for individual Part B providers using the Medicare Enrollment Application - Physicians and Non-Physician Practitioners (CMS-855I)
Read this document to learn how to change your address using the 855I enrollment application.
Completing the Medicare CMS-855A enrollment application
View these instructions for completing the CMS-855A form.
Completing the Medicare CMS-855B enrollment application
View instructions for completing the CMS-855B application.
Change of practice address for Part A providers using the Medicare Enrollment Application - Institutional Providers (CMS-855A)
Read this tutorial for instructions on how to change your practice location address using the 855A form.
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
Hospital off-campus outpatient department enrollment requirements
Read this article for information on enrolling your hospital off-campus outpatient department sites.
Completing the Medicare CMS-460 enrollment application
View these instructions for the CMS-460 form.