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Posting Date: 11/08/2024
Navigating Medicare Compliance for Federally Qualified Health Centers
Understanding Medicare compliance is crucial for federally qualified health centers (FQHCs) to ensure proper billing and reimbursement under the FQHC Prospective Payment System (FQHC PPS). This comprehensive webinar is designed to provide an [...]
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Posting Date: 10/24/2024
Submit an Initial Enrollment Application
Table of Contents Step 1: Determine You are in the Right Place Step 2: Complete the Medicare Application Step 3: Submit the Required Documentation Related Content [Return to Top] Step 1: Determine You are in the Right Place The [...]
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Posting Date: 10/24/2024
Submit an Initial Enrollment Application
Table of Contents Step 1: Determine You are in the Right Place Step 2: Complete the Medicare Application Step 3: Submit the Required Documentation Related Content [Return to Top] Step 1: Determine You are in the Right Place The [...]
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Posting Date: 10/24/2024
Submit an Initial Enrollment Application
Table of Contents Step 1: Determine You are in the Right Place Step 2: Complete the Medicare Application Step 3: Submit the Required Documentation Related Content [Return to Top] Step 1: Determine You are in the Right Place The [...]
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Posting Date: 04/14/2022
View Existing Medicare ID (PTAN) in PECOS and Effective/End Dates for Reassignment
View Existing Medicare ID (PTAN) in PECOS and Effective/End Dates for Reassignment Important: If you recently submitted an application to request a PTAN, please verify the approval letter was received prior to submission of claims. Log [...]
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Posting Date: 03/22/2022
Connecticut
Connecticut Member Name Professional Title Association Business Name/Address Email Fitzgerald, Elizabeth Audit and Education Specialist Hartford Healthcare 181 Patricia Genova Drive Newington, CT [...]
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Posting Date: 12/17/2021
General Information
General Information Certain diagnostic services provided by an IDTF are considered for Medicare payment when medically necessary. A referring/treating provider must order all covered services. The treating physician or nonphysician [...]
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Posting Date: 05/23/2019
Performance Standards
Performance Standards If providers are credentialing as an IDTF, then the performance standards shall be reviewed thoroughly before submitting a Medicare application. Refer to the IDTF Performance Standards and Attachment 2 beginning on page [...]
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Posting Date: 11/23/2021
Interpreting Physicians and Personnel (Technicians) Who Perform Tests
IDTF Billing Guide Interpreting Physicians and Personnel (Technicians) Who Perform Tests An IDTF may be either a mobile or stationary/fixed facility. Portable/Mobile Facility There are two types of mobile IDTFs. Each are large [...]
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Posting Date: 11/19/2021
Supervising Physicians
Supervising Physicians Supervision means the imaging is done under the physician’s overall control and direction and the licensed supervising physician is directly overseeing and ensuring the quality of medical care. An IDTF must have one or [...]
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Posting Date: 11/19/2021
Code Level Supervision
Code Level Supervision The supervision level required for diagnostic services is assigned by CMS. A list of diagnostic procedures and the supervision level required for each service is available in the CMS Medicare Physician Fee Schedule [...]
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Posting Date: 06/15/2021
Lung Cancer Screening
Lung Cancer Screening Early detection by screening is an important strategy for patients with a high risk for lung cancer. The LDCT is an additional preventive service benefit under the Medicare program. CMS established NCD for lung cancer [...]
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Posting Date: 05/14/2019
Claim Guidelines
Claim Guidelines The name and NPI of the referring/ordering provider must be in Items 17 and 17b of the CMS-1500 claim form or the EMC equivalent. An IDTF shall not be allowed to bill for any CPT or HCPCS codes that are solely therapeutic. [...]
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Posting Date: 12/02/2021
Credentialing, Enrollment and Revalidation
Credentialing, Enrollment and Revalidation Table of Contents Requirements Facilities that are not qualified Qualifications Application Forms You Will Need Required Application Fee Documentation State Survey, Tie-in Notice [...]
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Posting Date: 11/14/2024
Electronic Funds Transfer
EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or similar financial institution) [...]
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Posting Date: 10/24/2024
Electronic Funds Transfer Form and Instructions
Table of Contents Electronic Funds Transfer Form and Instructions Submitting the EFT Form CMS-588 EFT Completion Tips for Sole Proprietors, Sole Owners, Clinic/Groups, Organizations, Providers and Suppliers [Return to Top] Electronic [...]
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Posting Date: 10/23/2024
Medicare Part B Top Claim Denials
During this webinar, we’ll review the current top ten claim denials which are identified by internal claim data and provide guidance for correcting them, and solutions to prevent them from occurring on future claims. There will be time for your [...]
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Posting Date: 10/29/2024
Top Claim Errors Reviewed and Updated
Top Claim Errors Reviewed and Updated Using data analysis, we review and update the Top Claim Errors on a quarterly basis and provide: the error reason code; a description of the error; the error type; details that include steps you [...]
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Posting Date: 10/24/2024
Frequently Asked Questions Have Been Reviewed and Updated
Frequently Asked Questions Have Been Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Topics available are: ASCA Appeals CAR T-cell [...]
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Posting Date: 10/29/2024
Frequently Asked Questions Have Been Reviewed and Updated
Frequently Asked Questions Have Been Reviewed and Updated We’ve reviewed and updated our educational FAQs. Visit our Help and FAQs page located within the Education section of our website. Please take time to review these FAQs for answers to [...]
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