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Posting Date: 01/31/2020
Reminder: Hospitals Billing for the Appropriate Use Criteria for Advanced Diagnostic Imaging
Reminder: Hospitals Billing for the Appropriate Use Criteria for Advanced Diagnostic Imaging On 1/9/2020, CMS issued additional instructions in SE20002, Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging- Approval of Using the K3 [...]
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Posting Date: 05/12/2020
Reminder: 340B Hospital Survey Closes 5/15
Reminder: 340B Hospital Survey Closes 5/15 Reminder: the 340B hospital survey closes on Friday, 5/15/2020. This survey is for hospitals paid under the OPPS, that were enrolled in the 340B program during calendar year Q4 2018 and/or Q1 2019. [...]
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Posting Date: 09/09/2020
Reminder: Medicare Patient Equal Care Policy is the Law
Reminder: Medicare Patient Equal Care Policy is the Law It has come to our attention that some providers are refusing to offer certain services to Medicare patients that they make available to private-pay patients and patients who have other [...]
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Posting Date: 09/03/2020
We Can Now Accept Electronic Appeal Requests Using the X12 275 Version 6020 Transaction
We Can Now Accept Electronic Appeal Requests Using the X12 275 Version 6020 Transaction National Government Services will now allow Medicare Part A and Part B providers to submit their claim appeal requests, including medical record [...]
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Posting Date: 11/20/2020
VBID Hospice Benefit Component Information Now Available
VBID Hospice Benefit Component Information Now Available Beginning on January 1, 2021, CMS is testing the inclusion of the Part A Hospice Benefit within the MA benefits package through the Hospice Benefit Component of the Value-Based Insurance [...]
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Posting Date: 12/15/2020
Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies
Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies Change Request 11642 Revised 12/15/2020 Revised 12/1/2020 Posted 8/24/2020
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Posting Date: 09/17/2020
Updated Future Effective LCD and Article
Updated Future Effective LCD and Article Fluid Jet System Treatment for LUTS/BPH (L38367) The Fluid Jet System Treatment for LUTS/BPH is now considered medically reasonable and necessary for 30-150 cc- sized prostates when the Indications of [...]
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Posting Date: 09/17/2020
Updated Future Effective LCD and Article
Updated Future Effective LCD and Article Fluid Jet System Treatment for LUTS/BPH (L38367) The Fluid Jet System Treatment for LUTS/BPH is now considered medically reasonable and necessary for 30-150 cc- sized prostates when the Indications of [...]
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Posting Date: 08/21/2019
Ambulance Fee Schedule and Medicare Transports Booklet
Ambulance Fee Schedule and Medicare Transports Booklet A new Ambulance Fee Schedule and Medicare Transports Booklet is available. Learn about coverage, billing and payment for ground and air ambulance transport benefits. Posted 8/21/2019
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Posting Date: 10/09/2019
Medicare’s 2020 Open Enrollment: October 15–December 7
Medicare’s 2020 Open Enrollment: October 15–December 7 Medicare Patients May Have Questions - A State Health Insurance Assistance Program Can Help What is the State Health Insurance Assistance Program? A SHIP is a free insurance counseling [...]
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