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Posting Date: 09/30/2024
What Should Be Provided if Medical Records Are Requested for Review?
What Should Be Provided if Medical Records Are Requested for Review? The following should be considered if applicable to the service being reviewed. This is not intended to be an all-inclusive list. Progress/visit notes Physician orders [...]
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Posting Date: 01/12/2024
Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate
Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate Table of Contents Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate Background: Standard Payment vs. [...]
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Posting Date: 11/09/2018
Claims for Drugs Without a Product-Specific Code Assigned
Claims for Drugs Without a Product-Specific Code Assigned National Government Services has noticed that when a claim RTPs for additional information to be added to the Remarks field concerning certain drugs, some providers attempt to provide [...]
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Posting Date: 03/13/2025
Denials for HCPCS G2211
NCCI editing for HCPCS G2211 code was updated on 12/05/2024 to require HCPCS G0463 as the primary code for G2211 add-on code. This has resulted in denials of claims for the add-code G2211 when billed with CPTs 99202-99205 and 99211-99215. [...]
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