-
Posting Date: 02/16/2021
Supplemental Right Side Content Part A
Helpful ResourcesTPE Manual
Read More -
Posting Date: 08/11/2015
How to Respond to Additional Development Requests for Herceptin Billing
How to Respond to Additional Development Requests for Herceptin BillingSeveral providers are responding to Herceptin-related ADRs without providing the required information. Herceptin billing must contain the number of milligrams that were used [...]
Read More -
Posting Date: 05/21/2018
How to View and Print ADRs from FISS/DDE
How to View and Print ADRs from FISS/DDESteps to View and Print ADRs from FISS/DDE Provider Online SystemAccess the claims through the Claims Inquiry screen/option. Type 01 at the FISS/DDE Online System Main Menu and then type 12 on the [...]
Read More -
Posting Date: 07/07/2021
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators Alert
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators AlertImplanted Spinal Neurostimulator Prior AuthorizationNational Government Services Medical Review initiated prior authorization reviews for the outpatient [...]
Read More -
Posting Date: 06/11/2018
Anesthesia Furnished in Conjunction with Colonoscopy (Modifier 33 Versus Modifier PT) Policy Update
Anesthesia Furnished in Conjunction with Colonoscopy (Modifier 33 Versus Modifier PT) Policy UpdateIn the CY 2018 PFS Final Rule, the CMS modified reporting and payment for anesthesia services furnished in conjunction with and in support [...]
Read More -
Posting Date: 01/13/2021
Provider Enrollment for Part A Providers
Provider Enrollment for Part A ProvidersHave you changed location? Remember to update your address and phone number in PECOS so National Government Services departments can reach you if needed.How do I update my information?Part A providers can [...]
Read More -
Posting Date: 12/04/2020
Provider Enrollment Application Fee Amount for CY 2021
Provider Enrollment Application Fee Amount for CY 2021On 11/23/2020, CMS issued a notice: Provider Enrollment Application Fee Amount for Calendar Year 2021. Effective 1/1/2021, the application fee is $599 for institutional providers (as that [...]
Read More -
Posting Date: 07/07/2021
Reopenings for Minor Errors and Omissions
Reopenings for Minor Errors and OmissionsA clerical error/omission reopening is an action taken to change an initial determination to correct minor errors or omissions outside of the Medicare appeal process.Reopening [...]
Read More -
Posting Date: 01/19/2016
Electronic Data Interchange Help Desk E-mail Inquiry Form Assistance
EDI E-mail Inquiry Form Assistance*Required Field - An asterisk adjacent to the form field indicates that completion is required.Line of BusinessList the line of business for this inquiry or issue. Choose from the drop-down box.Medicare [...]
Read More -
Posting Date: 08/18/2016
Protected Health Information and Personally Identifiable Information Email Guidelines
Protected Health Information and Personally Identifiable Information Email GuidelinesThe following information is considered PHI and PII. Note: These lists are not all-inclusive. If additional information is required to research an inquiry, [...]
Read More