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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: 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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