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Posting Date: 01/02/2025
Proper Submission of Reopening Requests
Proper Submission of Reopening Requests National Government Services has identified an issue where providers are submitting reopening requests to change or add diagnosis codes on paid claims. These reopening requests do not impact the outcome [...]
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Posting Date: 01/08/2025
Fourth Quarter Top Ten EDI Institutional Edits
Fourth Quarter Top Ten EDI Institutional Edits Using data analysis, we’ve updated the Top Ten EDI Edits for the 2024 fourth quarter. Visit Quarterly Top Ten EDI Institutional Edits to view the edits, their description and learn what you can [...]
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Posting Date: 01/07/2025
Using Nicotine Replacement Therapy for Smoking Cessation
Using Nicotine Replacement Therapy for Smoking Cessation Healthcare providers may choose to offer quit smoking medications to help reduce withdrawal symptoms and cigarette cravings, effectively doubling the chances of quitting successfully. [...]
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Posting Date: 05/06/2016
Inpatient Admission Prior to Medicare Entitlement Job Aid
Inpatient Admission Prior to Medicare Entitlement Job Aid Pre-Entitlement Quick Steps Pre-entitlement is when a beneficiary is admitted as an inpatient to an acute care hospital prior to the beneficiary's Medicare entitlement effective date [...]
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