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Posting Date: 12/09/2024
January 2025 EDI Front End Quarterly Release
January 2025 EDI Front End Quarterly Release Please be advised that while the Centers for Medicare & Medicaid Services mandated release for January 2025 will be installed the weekend of 1/5/2025, the code set updates included with this [...]
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Posting Date: 12/10/2024
Screening Mammography, Pap Test and Pelvic Exam
Ensure that your patients obtain the preventive services they are eligible for by knowing the Medicare coverage, coding and billing guidelines for screening mammograms, pap tests and pelvic examinations, as well as where to find more [...]
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Posting Date: 12/11/2024
Correct a Beneficiary's MSP Record
Table of Contents Background Step 1: Provider Receives Information Indicating Medicare Is the Primary Payer for a Beneficiary's Services Step 2: Prepare and Submit a Medicare Primary Claim With the Reason Medicare Is the Primary Payer [...]
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Posting Date: 12/11/2024
Provisional Period of Enhanced Oversight for New Hospices
Provisional Period of Enhanced Oversight for New Hospices In recent years, CMS has reported a significant increase in fraudulent hospice billing practices, which cost the Medicare program millions of dollars annually. The CMS has initiated a [...]
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