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Posting Date: 10/27/2022
Primary Care Exception Guidelines
Primary Care Exception Guidelines Services performed by attending physicians at teaching hospitals, in collaboration with house staff in an approved GME program, generally require evidence of direct care by the attending physician in order to [...]
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Posting Date: 10/27/2022
Cloned Documentation Could Result in Medicare Denials for Payment
Cloned Documentation Could Result in Medicare Denials for Payment Medicare providers today are faced with the challenges of providing quality healthcare while meeting ever increasing regulatory and compliance regulations. Many providers are [...]
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Posting Date: 10/27/2022
Documentation Required for Home Visits
Documentation Required for Home Visits CPT Codes 99341‒99350 As of 1/1/2019, CMS no longer requires providers to differentiate medical necessity for a home visit versus an office or outpatient visit. Providers no longer need to document [...]
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Posting Date: 10/27/2022
Referring, Monitoring and Certifying Home Health Services
Referring, Monitoring and Certifying Home Health Services Table of Contents Referring, Monitoring and Certifying Home Health Services Homebound Status Need for Skilled Services Under the Care of a Physician or Allowed Practitioner Plan [...]
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Posting Date: 10/27/2022
Scribing Medical Record Documentation
Scribing Medical Record Documentation National Government Services recognizes an increasing trend in providers’ use of scribes as assistants in medical record documentation. In these situations, a provider utilizes the services of staff to [...]
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Posting Date: 10/27/2022
Submit Medical Record Documentation Electronically
Submit Medical Record Documentation Electronically Table of Contents Submit Medical Record Documentation Electronically What do you need to get started? What are the Attachment Transactions? Who can use the Attachment Transactions? [...]
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Posting Date: 11/03/2022
Using the Medicare Part B PWK Fax-Mail-esMD Cover Sheet
Using the Medicare Part B PWK Fax-Mail-esMD Cover Sheet JK and J6 providers have the option of electronically submitting, mailing, or faxing documentation for electronically-submitted claims that require additional documentation for purposes [...]
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Posting Date: 10/10/2022
Anesthesia for Pain Management Procedures
Anesthesia for Pain Management Procedures The use of moderate or deep sedation, general anesthesia, and MAC is rarely indicated for pain management procedures and is not considered reasonable and necessary. The ASA provides guidelines for [...]
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Posting Date: 11/29/2021
Remittance Advice
Remittance Advice Table of Contents General Information Electronic Remittance Advice Remittance Message Codes Standard Paper Remittance General Information Once Medicare has processed a claim, the provider will receive a notice [...]
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Posting Date: 10/14/2021
Requesting an Exception to Timely Filing
Requesting an Exception to Timely Filing Table of Contents Requesting an Exception to Timely Filing No Appeal Rights for Claims Denied Based on Timely Filing Limit Provider Liability Exceptions that May Allow the Time Limit to be [...]
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