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Posting Date: 05/02/2024
Important Reminders for Your EDI Enrollment
Important Reminders for Your EDI Enrollment When completing the EDI Enrollment application, it’s important that the entity name and address you enter on the EDI enrollment form matches exactly to the information contained in the CMS-855/PECOS [...]
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Posting Date: 05/03/2024
Join Us for ‘Real Time” with CMS Chicago
Join Us for ‘Real Time' with CMS Chicago The CMS Chicago LEA would like to invite you to our “Real Time” with CMS Chicago, a bi- weekly webinar that occurs on the 2nd & 4th Wednesday of every Month at 9 a.m. CT. These 30-minute calls are [...]
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Posting Date: 05/03/2024
About Prior Authorization
About Prior Authorization CMS has implemented Prior Authorization (PA) programs nationwide to ensure that Medicare beneficiaries continue to receive medically necessary care while protecting the Medicare Trust Fund from improper payments. PA [...]
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Posting Date: 06/09/2021
OPD Facility/Physician Communication
OPD Facility/Physician Communication What does this mean for the Part B Provider who will be performing the service in the hospital OPD? The performing provider, must work alongside the hospital OPD staff to obtain PA for the services to be [...]
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Posting Date: 09/08/2021
Billing Reminder: When a Skilled Nursing Facility Payment Ban is in Effect
Billing Reminder: When a Skilled Nursing Facility Payment Ban is in Effect CMS may impose a DPNA against the SNF when the facility is not in compliance with the requirements of participation under the Social Security Act at Sections 1819(h) [...]
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Posting Date: 10/07/2010
PS&R/Cost Report Crosswalk
PS&R/Cost Report Crosswalk Did you know you have access to crosswalks between the PS&R Summary Report and the Medicare cost report? Our Medicare Audit and Reimbursement Department created crosswalk tools for hospitals and [...]
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Posting Date: 04/30/2024
Save the Dates! National Government Services 2024 Spring/Summer Virtual Conference
Save the Dates! National Government Services 2024 Spring/Summer Virtual Conference Mastering Medicare: Tuesday Tutorials for Part B Providers Coming to you soon on 6/4/2024, 6/11/2024, 6/18/2024 and 6/25/2024, four full days of virtual [...]
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Posting Date: 05/03/2024
Save the Dates! CMS National Provider Enrollment Conference in San Diego: 8/28/2024-8/29/2024
Save the Dates! CMS National Provider Enrollment Conference in San Diego: 8/28/2024-8/29/2024 Wednesday, 8/28/2024 and Thursday, 8/29/2024 from 8:00 a.m.–5:00 p.m. PT Register for the CMS National Provider Enrollment Conference at the San [...]
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Posting Date: 03/27/2015
SNFs: Missing Medicare Health Insurance Claim Number on Minimum Data Set Can Cause Potential Claim Denials
SNFs: Missing Medicare Health Insurance Claim Number on Minimum Data Set Can Cause Potential Claim Denials Our Medical Review department has noted many cases where the HIC number is missing from the MDS that is in the repository. MDS Overview [...]
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