Prior Authorization Code Lookup
Use this tool to search by HCPCS/CPT code to determine if the code is subject to prior authorization.
MLN Connects Special Edition for October 21, 2025
This special edition includes information on lifting the current claims hold.
Helpful tips to expedite cost report tentative settlements – worksheet E-1, Part I
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
Special Edition - MLN Connects for October 15, 2025
View this special edition regarding a claims hold update and an NCCI alert.
Public health emergency billing guidance for skilled nursing facilities (SNFs)
CMS allows programmatic waivers for impacted states under Section 1135 of the Social Security Act (SSA) for declared emergencies...
Collaborative parenteral nutrition webinar coming December 9
This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage...
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Physical therapy plan of care requirements
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the...
Prior authorization (PA) demonstration for certain ambulatory surgical center (ASC) services
CMS is delaying the start date for the PA demonstration for certain services provided in ASCs and will be implementing the...
Tips to prevent reason code 326x4
Review this article if your claim is returning for reason code 326x4.