-
Posting Date: 04/29/2024
How Will I Know When a Payment Determination Has Been Issued_Part A-B-FQHC-HHH
How Will I Know When a Payment Determination Has Been Issued? How Will I Know When a Payment Determination Has Been Issued? When a Recovery Auditor finds that improper payments have been made, they will submit claim adjustments to your MAC. The [...]
Read More -
Posting Date: 04/29/2024
ALOB_What Are My Options When I Receive the Recovery Auditor Demand Letter
What Are My Options When I Receive the Recovery Auditor Demand Letter? What Are My Options When I Receive the Recovery Auditor Demand Letter? If you agree with the Recovery Auditor’s determination you can: repay the overpayment amount by check; [...]
Read More -
Posting Date: 03/26/2024
Covered Medicare Part B Drugs/Biologicals
Covered Medicare Part B Drugs/Biologicals Each drug and biologic that can be considered for coverage under Medicare Part B has its own set of coverage guidelines. Below are examples of covered Medicare Part B drugs and biologicals, which may [...]
Read More -
Posting Date: 04/30/2024
Biomarker Testing for Prostate Cancer Diagnosis
Biomarker Testing for Prostate Cancer Diagnosis N/A L37733 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37733 A56609 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56609 A59220 [...]
Read More -
Posting Date: 12/10/2021
Maximum Payment Limits for Rural Health Centers
Maximum Payment Limits for Rural Health Centers Payment Limit Annual Adjustment Period Covered $190.00 TBD 1/1/2028–12/31/2028 $178.00 TBD 1/1/2027–12/31/2027 $165.00 TBD [...]
Read More -
Posting Date: 04/30/2024
2024 Medicare Cost Report Due Dates
2024 Medicare Cost Report Due Dates FYE 12/31/2023 cost reports are due by 5/31/2024. We strongly encourange early filing of the cost report. Early-filed cost reports that are rejected will receive a grace period to re-submit prior to [...]
Read More -
Posting Date: 04/30/2024
Water Vapor Thermal Therapy for LUTS/BPH
Water Vapor Thermal Therapy for LUTS/BPH N/A L37808 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37808 A56590 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56590 A59340 [...]
Read More -
Posting Date: 04/30/2024
ALOB_Supplemental Medical Review Contractor
Supplemental Medical Review Contractor Supplemental Medical Review Contractor Supplemental Medical Review Contractor Table of Contents Supplemental Medical Review Contractor Avoid Claim Denials: Ensure Your Address is Accurate and Up-to-Date [...]
Read More