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  • Posting Date: 04/21/2023
    New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions

    New Service Added to the Hospital Outpatient Department Prior Authorization Program - Facet Joint Interventions As a reminder, effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the OPD [...]

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  • Posting Date: 04/13/2023
    Registration is Open for the Part B Claim Submission Learning Day

    Registration is Open for the Part B Claim Submission Learning Day Join us on Tuesday, 5/9/2023 for our Part B Claim Submission Learning Day! Our Part B POE Team is hosting a full day of educational webinars focused on submitting claims [...]

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  • Posting Date: 07/17/2023
    Prior Authorization Outpatient Department Rejections Alert

    Prior Authorization Outpatient Department Rejections Alert National Government Services has seen a significant increase in rejections due to invalid information provided on PAR cover sheets.   Please see the following for top reasons for [...]

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  • Posting Date: 06/08/2023
    MLN Connects® Newsletter: June 8, 2023

    MLN Connects® Newsletter: June 8, 2023 News CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the Territory of Guam Due to Recent Typhoon CMS Roundup (June 2, 2023) Gender-Specific Services: Billing [...]

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  • Posting Date: 06/01/2023
    MLN Connects® Newsletter: June 1, 2023

    MLN Connects® Newsletter: June 1, 2023 News CMS Announces Plan to Ensure Availability of New Alzheimer’s Drugs COVID-19 Health Care Staff Vaccination Final Rule Medicare Secondary Payer Accident-Related Diagnosis Codes: How to Get Paid [...]

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  • Posting Date: 05/19/2023
    Local Coverage Determination Open Meeting Announcement

    Local Coverage Determination Open Meeting Announcement Jurisdiction 6/Jurisdiction K Part A/Part B MAC To ensure the development of LCDs occurs through a public and open process, we are soliciting scientific evidence and other [...]

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  • Posting Date: 03/23/2023
    MLN Connects® Newsletter: March 23, 2023

    MLN Connects® Newsletter: March 23, 2023 News Additional Residency Positions: Apply by March 31 Laboratory Testing Urinalysis: Comparative Billing Report in March Long-Term Care Hospital Provider Preview Reports: Review by April 14 [...]

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  • Posting Date: 03/22/2023
    Appealing a Denied Claim

    Appealing a Denied Claim At times, providers submit a claim that ends up being denied; the denial may include appeal rights. Providers can appeal all of their overpayment claims on one request for redetermination, which is the first level of [...]

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  • Posting Date: 03/16/2023
    MLN Connects® Newsletter: March 16, 2023

    MLN Connects® Newsletter: March 16, 2023 News HHS Releases Initial Guidance for Historic Medicare Drug Price Negotiation Program for Price Applicability Year 2026 Quality Payment Program: 2021 Care Compare Performance Information [...]

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  • Posting Date: 03/09/2023
    Physicians/Practitioners! Are You Ordering Oxygen for Your Patients?

    Physicians/Practitioners! Are You Ordering Oxygen for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for coverage criteria to be met and allow your patients to receive [...]

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