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  • Posting Date: 09/22/2022
    Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound

    Notice Regarding Targeted Probe and Educate Topic: Breast Ultrasound National Government Services has received approval from CMS to deny related claims (modifier 26 and/or TC) in accordance to the CMS IOM Publication 100-08, Medicare Program [...]

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  • Posting Date: 09/26/2022
    Billing and Coding and Medical Policy Article Updates September/October 2022

    Billing and Coding and Medical Policy Article Updates September/October 2022 Billing and Coding: Bevacizumab and biosimilars (A52370) Based on Transmittal 11594, (CR 12885) October 2022 Update of the Hospital OPPS, HCPCS code C9142 has been [...]

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  • Posting Date: 09/19/2022
    Reminder: Documenting Physical Therapy Services

    Reminder: Documenting Physical Therapy Services Insufficient documentation causes most improper payments. Visit our CERT Alerts webpage for Topic specific articles that provide instructions and resources for submitting appropriate [...]

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  • Posting Date: 02/21/2022
    Removal of HCPCS Code

    Removal of HCPCS Code Prior Authorization Update Effective immediately, for claims with dates of service on or after 1/7/2022, the Centers for Medicare & Medicaid Services is removing current procedural terminology code 67911 (correction [...]

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