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Posting Date: 04/07/2020
Adopting Appropriate Claim Denials Management System: Modifiers 76/77
Adopting Appropriate Claim Denials Management System: Modifiers 76/77 We have identified providers who are submitting several appeals for modifiers 76 and/or 77 and this has caused additional work for your organization as well as National [...]
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Posting Date: 02/07/2020
Adjustment on Payments for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments
Adjustment on Payments for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments The American Hospital Association challenged CMS’ use of its authority under Subsection (t)(2)(F) of the Medicare statute to pay for [...]
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Posting Date: 09/29/2020
Issues with Medicare Beneficiary Submitted Claims ‒ We Need Your Help
Issues with Medicare Beneficiary Submitted Claims ‒ We Need Your Help National Government Services has seen an increase of Medicare beneficiary submitted claims that often times result in a negative outcome. While most Medicare fee-for-service [...]
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Posting Date: 06/16/2020
Changes in Guidance for E/M Telephone Services (99441-99443)
Changes in Guidance for E/M Telephone Services (99441-99443) We are informing providers of a recent revision in interpretation and guidance for use of CPT codes 99441-99443 for telephone E/M services. Since these telephone services have been [...]
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