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Posting Date: 11/14/2024
MLN Connects® Newsletter: November 14, 2024
MLN Connects® Newsletter: November 14, 2024 News 2025 Medicare Parts A & B Premiums and Deductibles Medicare Participation for CY 2025 Ambulance Fee Schedule: CY 2025 Final Policies Prior Authorization Review Timeframe Change [...]
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Posting Date: 11/14/2024
November 21st is The Great American Smokeout
November 21st is The Great American Smokeout You Can Help Your Patients Quit Smoking Smoking is one of the leading causes of heart disease and stroke. At least 70% of cigarette smokers see a clinician annually and many want to quit. Each [...]
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Posting Date: 11/14/2024
Part B Claims Denied with Error 524B
An error in CWF processing has not yet been fully corrected. The error is occurring when Demo Codes A5 (Making Care Primary-MCP) or A6 (Guiding an Improved Dementia Experience-GUIDE) are on the claim and the HIC on the claim has an active MSP [...]
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Posting Date: 05/05/2021
IVR Conversion Table
Conversion Chart for Patient Names Conversion Chart for Beneficiary HICN/MBI/PTAN/DCN Letter Conversion Letter Conversion A 2 A *21 B 2 B *22 C 2 C *23 [...]
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Posting Date: 11/14/2024
Using the IVR
Table of Contents MBI Phonetic Alphabet Now Available Tips MBI Phonetic Alphabet IVR Conversion Tool [Return to Top] MBI Phonetic Alphabet Now Available To assist you when speaking the MBI, we have implemented the MBI phonetic [...]
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Posting Date: 06/23/2021
When to Use the Provider Contact Center Versus Self-Service Tools
When to Use the Provider Contact Center Versus Self-Service Tools The CMS requires contractors to provide self-service and electronic communication technologies as efficient, cost effective means of disseminating Medicare provider information, [...]
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Posting Date: 11/08/2019
Prothrombin Time
Prothrombin Time We have experienced an increasing number of CERT errors due to documentation requirements not being met. Below is a list of the most common reasons CERT determined there was insufficient documentation that caused improper [...]
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Posting Date: 10/15/2019
Diagnostic Mammography
Diagnostic Mammography Insufficient Documentation Causes Most Improper Payments. Insufficient documentation means that something was missing from the medical records. Below is a list of the most common reasons CERT determined there was [...]
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Posting Date: 09/20/2019
Prolonged Services
Prolonged Services Insufficient documentation causes most improper payments. Insufficient documentation means that something was missing from the medical records. Below is a list of the most common reasons CERT determined there was [...]
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Posting Date: 06/27/2019
Annual Wellness Visit
Annual Wellness Visit Insufficient documentation means that something was missing from the medical records. Below is a list of the most common reasons CERT determined there was insufficient documentation that caused improper payments for an [...]
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