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Posting Date: 03/01/2023
April 2023
In This Issue National Government Services Articles for Part A and Part B Providers Appealing a Denied Claim New Version of PC-ACE: April 2023 Type of Bill Code is a Requirement for All Prior Authorization Requests Change in Pricing [...]
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Posting Date: 03/01/2023
March 2023
In This Issue National Government Services Articles for Part A and Part B Providers LCD, Billing and Coding Article Updates for March 2023 Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions April 2023 Release "Dark [...]
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Posting Date: 06/25/2021
Outpatient Department Prior Authorization UTN Alert
Each UTN is Valid for One-Time Use The National Government Services Medical Review Department initiated prior authorization reviews for the following outpatient department procedures: Panniculectomy, Rhinoplasty, Vein Ablation, Blepharoplasty [...]
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Posting Date: 06/25/2021
Outpatient Department Prior Authorization Type of Bill Alert
Providers Who Submit a Type of Bill 13X Are Required to Submit a Prior Authorization Request for the OPD PA Services The National Government Services Medical Review Department initiated prior authorization reviews for the following outpatient [...]
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Posting Date: 09/10/2021
UTN Alert: Implanted Spinal Neurostimulator Trial and Permanent UTN
UTN Alert: Implanted Spinal Neurostimulator Trial and Permanent UTN The National Government Services Medical Review Department initiated prior authorization reviews for the following outpatient department procedures: Panniculectomy, [...]
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Posting Date: 03/30/2023
Type of Bill Code is a Requirement for All Prior Authorization Requests
Type of Bill Code is a Requirement for All Prior Authorization Requests The National Government Services PA Department has seen an increase in cases that are submitted without a TOB code. PA staff conducts outreach to obtain this code; [...]
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Posting Date: 02/21/2022
Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert
Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert Implanted Spinal Neurostimulator Prior Authorization National Government Services Medical Review initiated a prior authorization review outpatient department [...]
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Posting Date: 09/14/2023
MLN Connects® Newsletter: September 14, 2023
MLN Connects® Newsletter: September 14, 2023 News Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation CMS Roundup (Sept 8, 2023) New Provider [...]
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