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Posting Date: 02/27/2025
Submitting Revalidation via PECOS
During this webinar, we’ll provide an understanding of how to utilize the Centers for Medicare & Medicaid Services (CMS) Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a [...]
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Posting Date: 02/28/2025
Understanding the Partial Hospitalization Program Basics: Part 1 Medicare Coverage
Join us to learn about Medicare coverage of Partial Hospitalization Program (PHP) services. This is part 1 of a 2-part session. The second session “Understanding the Partial Hospitalization Program: Part 2 Medicare Billing” will be conducted on [...]
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Posting Date: 02/28/2025
Understanding the Partial Hospitalization Program Basics: Part 2 Medicare Billing
Join us to learn about Medicare billing of Partial Hospitalization Program (PHP) services. This is part 2 of a 2-part session. The first session “Understanding the Partial Hospitalization Program: Part 1 Medicare Coverage” will be conducted on [...]
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Posting Date: 01/11/2021
Audit and Reimbursement
Audit and Reimbursement Cost Report Filing State/Region Contact Information Jurisdiction 6 J6_cost_report_filing@anthem.com Jurisdiction K JK_cost_report_filing@anthem.com Provider Statistical [...]
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Posting Date: 07/05/2022
Audit and Reimbursement
Audit and Reimbursement Cost Report Filing State/Region Contact Information Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont JK_Cost_Report_Filing@anthem.com FQHC (All), [...]
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Posting Date: 03/03/2025
Navigating Skilled Nursing Facility Inpatient Billing Situations
During this session, we’ll explore how to properly bill situations that occur with skilled nursing facility inpatients such as; when the beneficiary did not meet the technical or medical requirements for coverage, has insurance primary to [...]
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Posting Date: 03/03/2025
MLN Connects® Newsletter: February 28, 2025
MLN Connects® Newsletter: February 28, 2025 CMS Provider Education Message: Hospitals: Actions to Make Healthcare Prices Transparent Update: On February 25, the White House issued an Executive Order to empower patients with clear, accurate, [...]
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Posting Date: 03/03/2025
Clinicians: Are You Ordering Urological Supplies for Your Patients?
Clinicians: Are You Ordering Urological Supplies for Your Patients? Urological supplies are covered as part of the prosthetic device benefit as outlined in the Social Security Act, Section 1861(s)(8). Prosthetic devices (other than dental) [...]
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Posting Date: 03/03/2025
Targeted Probe and Educate
During this webinar, we'll help the Medicare provider community understand the targeted probe and educate program.
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Posting Date: 03/03/2025
Procedure to Procedure Edits
Procedure to Procedure Edits The purpose of the NCCI PTP edits is to prevent improper payment when incorrect code combinations are reported. The NCCI contains one table of edits for physicians/practitioners and one table of edits for [...]
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