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Posting Date: 03/18/2015
Sequestration Questions and Answers
Sequestration Questions and Answers If a durable medical equipment capped rental period started before 4/1/2013, are the rental payments for months after 4/1/2013, subject to the 2 percent reduction? Answer: Any claims for rental [...]
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Posting Date: 03/24/2015
Billing for Tape Codes (A4450 and A4452) and Modifiers (AU, AV and AW)
Billing for Tape Codes (A4450 and A4452) and Modifiers (AU, AV and AW) Policy specific informational modifiers can be located in the local medical policies. When submitting claims that require policy specific informational modifiers, [...]
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Posting Date: 09/12/2011
Claim Completion Requirements for Facility Location (Item 32)
Claim Completion Requirements for Facility Location (Item 32) When a supplier submits a claim for DMEPOS provided in a location other than the beneficiary’s home (POS 12), the supplier must enter in Item 32, Facility Location, the name and [...]
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Posting Date: 02/19/2015
Coverage and Correct Coding of Blincyto
Coverage and Correct Coding of BlincytoTM Joint DME MAC Publication On 12/3/2014, the FDA gave accelerated approval for Blinatumomab (BlincytoTM) for the treatment of Philadelphia negative relapsed/refractory acute lymphoblastic leukemia. [...]
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