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  • Posting Date: 01/16/2025
    Let’s Chat: Prior Authorization for Certain Hospital Outpatient Department Services

    This Let’s Chat session focuses on Prior Authorization for certain hospital outpatient department (OPD) services and is an informal opportunity for you to chat with our staff about the selected topic. During the session, you may ask us [...]

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  • Posting Date: 01/16/2025
    CO-16

    Avoiding/Correcting This Error Certain services require the submission of the ordering physicians or referring physician’s name and NPI.  Submission of this information is conditional depending on the type of service provided. Definition [...]

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  • Posting Date: 01/16/2025
    The National Correct Coding Initiatives Procedure-to-Procedure and Medically Unlikely Edits

    The Centers for Medicare & Medicaid Services (CMS) developed the National Correct Coding Initiative (NCCI) program to promote national correct coding. Incorrect coding often leads to improper payment and increases the paid claims error rate. If [...]

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  • Posting Date: 07/20/2023
    Contractor Advisory Committee Meeting

    Contractor Advisory Committee Meeting As part of the 21st Century Cures Act, contractors are mandated to base an LCD on robust evidence. Part of the process is to convene SMEs as necessary to review the literature and provide input that [...]

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