Fee schedule for administration of influenza and pneumococcal virus vaccines
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471.
I have moved and need to enroll in a different state. How do I do this on internet-based PECOS?
Start by terminating the previous enrollment for the state in which you are no longer residing or working. For the new state, log into your current internet-based PECOS account, select My Enrollments, and then select New Application. The applicant questionnaire will determine that you are enrolling in a new state.
SPOT approver instructions
The sign in page to access the identity management (IDM) system was updated to include a new button for LOGIN.GOV accounts. All...
Instructions for completing the EDI SPOT enrollment form for third-party organizations
These instructions will assist billing services and clearinghouses in completing the EDI SPOT enrollment form as a third-party...
Instructions for completing the EDI SPOT enrollment form for provider organizations
These instructions will assist you in completing the EDI SPOT enrollment form as a provider organization.
Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Targeted probe and educate (TPE) round results: Diagnostic radiology (CPT 93978)
View targeted probe and educate (TPE) round results for diagnostic radiology.
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)
View TPE round results for rehabilitation services outpatient (KX modifier).
Telephone reopening requests via the IVR
A self-service feature is available via the Part B interactive voice response (IVR) that allows providers / customers to request...
Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)
View TPE round results for psychotherapy services.