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WISeR News

NEW! ADRs: See Prepayment Medical Review for details.

PARs: To avoid processing delays and dismissals:

  • For services scheduled in a facility (HOPD or ASC) setting, submit a prior authorization request for the facility only.
  • Requested CPT/HCPCS: Report applicable codes listed in Appendix AExternal PDF only.
  • Facility Information: Report the HOPD or ASC PTAN/NPI only (must be a valid match).
  • Attending/Rendering Physician Information: Report the physician's NPI.

Feedback: Send your comments to CMSExternal Website.

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Recent News

Visit the Part A News page for all articles, alerts and updates.


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Education

Education Opportunities

  • May 21 – Introduction to SNF Consolidated Billing
  • May 26 – myCGS Lunch & Learn
  • May 26 – Mastering the AOR Form: A Step-by-Step Guide for Providers
  • May 27 – CGS Audit & Reimbursement Spring Learning Symposium
  • May 28 – Medicare Foundations: Billing Basics

Visit our Calendar of Events for details and to register.

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Take our Medicare Customer Experience (MCE) survey!
We review every comment and use your valuable feedback to improve our services.

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