Adjustment of Claims with Automated Medical Review Denials

Adjustment of Claims with Automated Medical Review Denials National Government Services would like to provide clarification to providers receiving automatic denials on claims. In certain circumstances it may be necessary to correct a billing [...]

Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet

Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet Beneficiary must have Medicare Part A with days left in their 100 day benefit period. A medically necessary inpatient hospital stay of at least three consecutive days [...]

Appropriate Use Criteria Program

MDS Calendar