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  • Posting Date: 12/17/2024
    Medicare Secondary Payer: Preparing and Submitting Claims – Part 1

    Join us for Part 1 of a two-part webinar. In Part 1, we will review Medicare Secondary Payer (MSP) claim coding and how to prepare/submit an MSP claim. This includes a review of the claim entry pages in the Fiscal Intermediary Standard System [...]

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  • Posting Date: 12/17/2024
    Medicare Secondary Payer: Preparing and Submitting Claims (Examples) – Part 2

    Join us for Part 2 of a two-part webinar. In Part 2, we will briefly recap the Medicare Secondary Payer (MSP). claim coding and billing instructions we reviewed in Part 1. We will then focus on reviewing examples of MSP claims. Be sure you [...]

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  • Posting Date: 12/17/2024
    Method II CAH Claims Not Paying Professional Services with Revenue Codes 096x-098x

    Certain CAH claims (TOB 85X) with professional service revenue codes 096x – 098X did not process for payment because the fee amount was not correctly retrieved during processing. The affected claims have receipt/processed dates in October 2024.

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  • Posting Date: 09/29/2022
    Helpful Resources

    Helpful Resources The absence of a local coverage determination (LCD) or Medical Policy Article does not indicate noncoverage, it means that currently, National Government Services (NGS) has not identified the service requires an associated [...]

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  • Posting Date: 12/16/2024
    Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG)

    Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG) L39189 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39189 A58921 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58921 A59900 [...]

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  • Posting Date: 10/23/2024
    34963

    Avoiding/Correcting This Error Verify billing and, if appropriate correct and return the claim. Online providers should press PF9 to restore the claim. Related Content New Fiscal Intermediary Shared System Consistency Edit to Validate [...]

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  • Posting Date: 10/22/2024
    34963

    Avoiding/Correcting This Error Verify billing and, if appropriate correct and return the claim. Online providers should press PF9 to restore the claim. Related Content New Fiscal Intermediary Shared System Consistency Edit to Validate [...]

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  • Posting Date: 10/23/2024
    34963

    Avoiding/Correcting This Error Verify billing and, if appropriate correct and return the claim. Online providers should press PF9 to restore the claim. Related Content New Fiscal Intermediary Shared System Consistency Edit to Validate [...]

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  • Posting Date: 11/12/2024
    U5233

    Avoiding/Correcting This Error Verify the admission date, from, and through dates on the claim and compare the dates to the MAO/HMO entitlement dates. Outpatient facilities and IPPS and IRF hospitals, or LTCH billing services within an [...]

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  • Posting Date: 12/18/2024
    Provider Enrollment Application Fee Amount for CY 2025

    Provider Enrollment Application Fee Amount for CY 2025 The provider enrollment application fee for CY 2025 is $730. For more information, view MLN Connects® Newsletter: December 12, 2024. Posted 12/18/2024

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