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  • Posting Date: 11/13/2024
    Correct or Adjust a Claim Due to an MSP-Related Issue

    Table of Contents Background Step 1: Identify the Fiscal Intermediary Shared System Direct Data Entry Status Location of the Claim and the Reason for the Claim Correction or Change Status Location TB9997 (Returned to Provider Claims) [...]

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  • Posting Date: 07/14/2024
    Correcting Reason Code 37253

    Correcting Reason Code 37253 To ensure home health claim information aligns with OASIS data, the iQIES OASIS claim data match is essential. If no matching assessment is found in iQIES when a claim is submitted, it will be returned with reason [...]

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  • Posting Date: 01/02/2025
    The Medicare Appeals Process: What You Need to Know

    This informative session will help you navigate Medicare’s appeals process by providing information on what an appeal is, how to determine if a claim can be appealed, who may file an appeal, the appeal levels, timeframes and documentation [...]

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  • Posting Date: 01/02/2025
    Who is My LSO?

    Who is My LSO? Select the Manage Account button on the NGSConnex home page. Select User Profile and scroll down to the ‘System Access’ section. Select the Checkbox next to the provider record you want to determine the LSO for. [...]

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