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Posting Date: 10/27/2021
Submit a Reconsideration
Submit a Reconsideration The second level of appeal is the reconsideration and is carried out by the QIC. Time limit to initiate = 180 days from date of receipt of redetermination decision Time limit to complete the review = 60 days [...]
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Posting Date: 11/16/2023
MLN Connects® Newsletter: November 16, 2023
MLN Connects® Newsletter: November 16, 2023 News Unprecedented Efforts to Increase Transparency of Nursing Home Ownership Hospital Price Transparency: Use Required CMS Template Layout to Encode Hospital Standard Charge Information [...]
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Posting Date: 10/13/2021
Behavioral Health Integration
Behavioral Health Integration Table of Contents Behavioral Health Integration General Behavioral Health Integration Eligible conditions Service Components Billing Codes Frequently Asked Questions Related Content [Return [...]
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Posting Date: 06/21/2021
Vein Ablation Best Practices
Vein Ablation Best Practices Table of Contents Vein Ablation Best Practices Documentation requirements: Best Practice/Documentation Feedback/Tips and Help Billing/Coding Alerts Related Content [Return to Top] Vein [...]
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Posting Date: 11/20/2023
January 2024 Release "Dark Days" for the Common Working File Hosts
January 2024 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2024 Release: For Production, CWF will be observing the Gray Day on Thursday, 12/28/2023 and Dark Days starting Friday, 12/29/2023 through Sunday, [...]
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Posting Date: 11/22/2023
MLN Connects® Newsletter: November 22, 2023
MLN Connects® Newsletter: November 22, 2023 News CMS Roundup (Nov 17, 2023) Provider Enrollment Application Fee: CY 2024 Clinical Laboratory Fee Schedule: CY 2024 Final Payment Determinations & Reporting Delay Medicare Ground [...]
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Posting Date: 11/28/2023
WellSky Home Health Claim Primary Diagnosis Coding Issue
WellSky Home Health Claim Primary Diagnosis Coding Issue WellSky has identified a software error for their HHA customers that potentially impacted claims submitted between 9/29/2021 and 10/27/2022. The error resulted in the software using [...]
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Posting Date: 11/29/2023
The CY 2024 Medicare Physician Fee Schedule Is Now Available
The CY 2024 Medicare Physician Fee Schedule Is Now Available The CY 2024 MPFS is now available. You can view the new fees using the Fee Schedule Lookup tool located on NGSMedicare.com. Posted 11/29/2023
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Posting Date: 11/29/2023
The Comprehensive Error Rate Testing Contractor
The Comprehensive Error Rate Testing Contractor The CERT contractor randomly selects claims providers submit to Medicare to determine if the claim was paid properly under Medicare coverage, coding and billing rules by requesting medical [...]
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Posting Date: 11/29/2023
Critical Access Hospitals: Bill Correctly
Critical Access Hospitals: Bill Correctly The CERT contractor randomly selects claims providers submit to Medicare to determine if the claim was paid properly under Medicare coverage, coding and billing rules by requesting medical [...]
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Posting Date: 12/01/2023
December 2023
In This Issue National Government Services Articles for Part A and Part B Providers Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating January 2024 Release "Dark Days" for the Common Working File Hosts The Great [...]
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Posting Date: 11/30/2023
MLN Connects® Newsletter: November 30, 2023
MLN Connects® Newsletter: November 30, 2023 News Quality Payment Program: Preview Your Performance Information by December 12 HIV: Screening is Knowledge Claims, Pricers, & Codes Resubmit Telehealth Claims with Modifier CS [...]
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Posting Date: 12/06/2023
National Government Services Medicare Administrative Contractor Provider Intervention Program
National Government Services Medicare Administrative Contractor Provider Intervention Program Are you aware that National Government Services has a MAC MPIP? The goal of this program is to notify you of potential billing aberrancies found as a [...]
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Posting Date: 12/07/2023
The Comprehensive Error Rate Testing Contractor Process
The Comprehensive Error Rate Testing Contractor Process The CERT contractor randomly selects claims providers submit to Medicare to determine if the claim was paid properly under Medicare coverage, coding and billing rules by requesting [...]
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Posting Date: 12/07/2023
Institutional Providers: Revised CMS-855A Medicare Enrollment Paper Application Required 12/17/2023
Institutional Providers: Revised CMS-855A Medicare Enrollment Paper Application Required 12/17/2023 If you don’t use PECOS, use the revised CMS-855A (Medicare Enrollment Application -Institutional Providers) to enroll or update your [...]
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Posting Date: 12/07/2023
MLN Connects® Newsletter: December 7, 2023
MLN Connects® Newsletter: December 7, 2023 News Citrix Bleed Vulnerability: Act Now Marriage and Family Therapists & Mental Health Counselors: Enroll in Medicare Now Health Professional Shortage Area: CY 2024 Bonus Payments [...]
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Posting Date: 12/08/2023
Reminder: OPPS Provider-Based Edits
Reminder: OPPS Provider-Based Edits Are you having issues with the recently implemented provider-based billing edits impacting OPPS facilities with multiple service locations? Certain edits were implemented on/after 8/1/2023 to ensure you are [...]
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Posting Date: 12/08/2023
CR13468 - Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions
CR13468 - Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions Posted 12/8/2023
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Posting Date: 10/20/2022
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients?
Physicians/Practitioners! Are You Ordering Oxygen for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for coverage criteria to be met and allow your patients to receive [...]
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Posting Date: 07/13/2022
A/B MACs Team Up with DME MACs for Glucose Monitor and Supplies Webinar on August 25
A/B MACs Team Up with DME MACs for Glucose Monitor and Supplies Webinar on August 25 Local A/B MACs and the DME MACs are excited to announce a collaboration webinar coming Thursday, August 25. This webinar will focus on what providers need to [...]
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