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  • Posting Date: 03/26/2021
    Main Menu Options

    Main Menu Options The main menu and subsequent menus can be navigated by using your voice or using touch‐tone on your telephone keypad. You can also use touch‐tone entry for provider numbers, Medicare numbers, PTAN, NPI, TIN, dates of service, [...]

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  • Posting Date: 11/18/2024
    Prepare and Submit an MSP Conditional Claim

    Table of Contents Background Step 1: Determine if You Can Submit a Conditional Claim Step 2: Prepare a Conditional Claim Conditional Billing Code Table Step 3: Check for a Matching MSP Record for the Beneficiary in the Common [...]

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  • Posting Date: 11/18/2024
    Home Health Top Claim Errors

    Do you see the same rejections and returned to providers (RTPs) over and over? Do you know how to correct the most common errors and more importantly how to avoid them in the future? In this session we’ll review the most common reason codes [...]

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  • Posting Date: 11/18/2024
    Hospice Top Claim Errors

    Do you see the same rejections and return to providers (RTPs) over and over? Do you know how to correct the most common errors and more importantly how to avoid them in the future? In this session we’ll review the most common reason codes [...]

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  • Posting Date: 11/18/2024
    Micro-Invasive Glaucoma Surgery (MIGS)

    Micro-Invasive Glaucoma Surgery (MIGS) N/A L37244 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37244 A56588 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56588 A59912 [...]

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  • Posting Date: 12/01/2015
    Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process

    Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process Table of Contents Reason Codes T5052, N5052, U5210, U5220 and U5200 - Preventing RTP and Rejection Claims Why Is Beneficiary [...]

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  • Posting Date: 04/28/2015
    Identifying Payers Primary to Medicare

    Section 4: Getting Ready to Bill Medicare Identifying Payers Primary to Medicare Information for All Providers Table of Contents Determine if Medicare is Primary Payer MSP Information Collection Requirements—Frequency Retirement [...]

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  • Posting Date: 08/25/2022
    Use Our Provider Self-Service Tools To Spend Less Time on the Phone

    Use Our Provider Self-Service Tools To Spend Less Time on the Phone Did you know our PCC experiences high call volumes at the beginning and the ending of each month? To avoid experiencing prolonged hold times, you can use our provider [...]

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  • Posting Date: 11/18/2024
    U5210

    Avoiding/Correcting This Error Each beneficiary should be screened for eligibility. Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS Provider [...]

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  • Posting Date: 11/18/2024
    U5200

    Avoiding/Correcting This Error Part of the eligibility verification process should include ensuring the dates of service fall within the Medicare entitlement period. Use the FISS/DDE Provider Online System or NGSConnex to verify [...]

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