CMS Regulations & Compliance Reference
Federal billing regulations, compliance requirements, filing deadlines, and appeal rules that affect every claim your team submits. Each page covers what the rule requires, who it affects, and how to stay compliant.
CMS-0057-F Prior Authorization Interoperability Rule
No Surprises Act Billing Requirements
Surprise Billing Protection Rules
CMS Telehealth Billing Rules
DMEPOS Prior Authorization Rules
Medicare Advantage Prior Auth Rules
Balance Billing Protection Laws
Timely Filing Deadline Requirements
Claim Submission Deadline Rules
Claim Appeal Deadline Requirements
CMS Payment Timeline Requirements
Healthcare Price Transparency Rules
Clean Claim Definition CMS Rules
CMS Claim Status Inquiry Rules
EOB Requirements CMS Rules
Advance Beneficiary Notice Rules
Medical Necessity Determination Rules
Prior Authorization Requirements CMS
Claim Denial and Appeal Process Rules
Anti-Fraud Abuse Billing Laws
EMTALA Emergency Department Billing
HIPAA Privacy Rules Billing
Medical Record Documentation Rules
ICD-10 CPT Coding Compliance Rules
Modifier Usage Compliance Rules
Claim Bundling Compliance Rules
High-Risk Billing Audit Areas
Medical Billing Compliance Checklist
Altair checks compliance rules before you submit. See how pre-submit claim scoring works.
CMS regulations change. Always verify against current CMS documentation. Last updated: 2026-03-30.