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  • Posting Date: 12/14/2018
    Hospice Pricer Tool

    Hospice Pricer Tool The CMS Web Pricer will assist in evaluating your hospice claim reimbursement. Revised 4/18/2024

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  • Posting Date: 04/18/2024
    MLN Connects® Newsletter: April 18, 2024

    MLN Connects® Newsletter: April 18, 2024 News PrEP for HIV: Prepare for Potential Medicare Part B Coverage Events Clinical Laboratory Fee Schedule Upcoming Meetings: Register to Present, Speak, or Attend in Person by June 1 [...]

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  • Posting Date: 04/15/2024
    3/13/2024 Part B POE Advisory Group Meeting

    3/13/2024 Part B POE Advisory Group Meeting Meeting Minutes Meeting Time: 10:00 a.m.‒12:00 p.m. ET Member Attendees: Doris Barnes, Aurelio Barraco, Madelon Berger, Ilka Collier, Eileen Conlan, Renay Coonan, Tracy Essling, Stephanie [...]

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  • Posting Date: 06/26/2023
    Helpful Reminders on Advance Care Planning

    Helpful Reminders on Advance Care Planning ACP billing codes: 99497: Advance care planning, including the first 30 minutes of face-to-face explanation and discussion (when performed) of advance directives such as standard forms. 99498: [...]

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  • Posting Date: 04/19/2024
    Reminders for the New Hospice Certifying Physician Claim Edit Effective 5/1/2024

    Reminders for the New Hospice Certifying Physician Claim Edit Effective 5/1/2024 Effective for hospice claim "From" dates on or after 5/1/2024, CMS implemented edits to enforce a new rule that would deny hospice claims if the certifying [...]

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  • Posting Date: 04/22/2024
    Top Claim Errors Have Been Reviewed and Updated

    Top Claim Errors Have Been Reviewed and Updated Our top claim errors are updated on a quarterly basis to reflect current information. Visit Top Claim Errors under Resources > Claims and Appeals to learn what you can do to avoid claim [...]

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  • Posting Date: 04/23/2024
    Receive and Respond to Audit and Reimbursement Correspondence via NGSConnex

    Table of Contents Receive and Respond to Audit and Reimbursement Correspondence via NGSConnex What are the benefits? [Return to Top] Receive and Respond to Audit and Reimbursement Correspondence via NGSConnex National Government [...]

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  • Posting Date: 04/24/2024
    Home Office Cost Statements

    A home office of a chain organization is a related organization to its participating providers. Home offices usually furnish central management and administrative services, e.g., centralized accounting, purchasing, personnel services, [...]

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  • Posting Date: 02/02/2021
    Who May File an Appeal

    Who May File an Appeal Table of Contents Who May File an Appeal Appointment of Representative When Is an Appointment Not Necessary? Who May Be a Representative How to Make and Revoke an Appointment Required Elements When to Submit the [...]

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  • Posting Date: 02/02/2021
    Submit an Appeal Electronically with NGSConnex

    Submit an Appeal Electronically with NGSConnex Table of Contents Submit an Appeal Electronically with NGSConnex Step 1: Access NGSConnex Step 2: Submit an Electronic Appeal and Attach Documentation Step 3: Attach Documentation [...]

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