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  • Posting Date: 11/16/2021
    Physician Quality Payment Program

    Physician Quality Payment Program The MACRA ended the SGR formula for clinician payment under the MPFS and established a quality payment incentive program, the QPP. This program provides clinicians with two ways to participate: through [...]

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  • Posting Date: 11/16/2021
    Provider Contact Center

    Provider Contact Center For information about the Provider Contact Center, please visit the Contact Us page on our website.  Reviewed 10/21/2024

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  • Posting Date: 11/16/2021
    Provider Enrollment

    Provider Enrollment The Provider Enrollment Customer Service Department has direct telephone lines available for provider enrollment inquiries. Toll-Free Provider Enrollment Numbers Please use the following toll-free provider enrollment [...]

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  • Posting Date: 11/16/2021
    Reconsideration (Second Level of Appeal)

    Reconsideration (Second Level of Appeal) A written reconsideration request must be filed with a QIC within 180 days of receipt of the redetermination. When providers receive an unfavorable redetermination, providers shall follow the [...]

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  • Posting Date: 11/16/2021
    Recovery Audit Program

    Recovery Audit Program The Recovery Audit Program’s mission is to identify and correct Medicare improper payments through the efficient detection and collection of overpayments made on claims of health care services provided to Medicare [...]

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  • Posting Date: 11/16/2021
    Redetermination (First Level of Appeal)

    Redetermination (First Level of Appeal) A redetermination is an examination of a claim by National Government Services personnel who are different from the personnel who made the initial claim determination. The appellant (the provider filing [...]

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  • Posting Date: 11/16/2021
    U.S. Government Printing Office

    U.S. Government Printing Office The GPO is responsible for the production and distribution of information products and services including the official publications of Congress, the White House and other federal agencies in digital and print [...]

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  • Posting Date: 11/16/2021
    Washington Publishing Company

    Washington Publishing Company Washington Publishing Company, Inc. is a private company categorized under the commercial Printing and Newspaper Publishing Combined company that is an established health care IT and consulting company. WPC [...]

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  • Posting Date: 01/14/2022
    Meeting Schedules

    Meeting Schedule Jurisdiction 6 ‒ Home Health and Hospice (Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Island, Oregon, Puerto Rico, U.S. Virgin [...]

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  • Posting Date: 10/22/2024
    Utilizing Third Party Billing Companies

    During this webinar, we’ll provide education related to using third party billers for your Medicare claims. We’ll identify vulnerabilities, share how to identify inappropriate third-party activities and reduce costs.

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