Remittance Advice Codes: What Are They and Where to Find What They Mean

Remittance Advice Codes: What Are They and Where to Find What They Mean Table of Contents Claim or Service Line Level Adjustments: Using Group Codes, Claim Adjustment Reason Codes and Remittance Advice Remark Codes Group Codes Claim [...]

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Related Content Centers for Medicare & Medicaid Services (CMS) Telehealth web page CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 15 CMS IOM Publication 100-04, Medicare Processing Manual, Chapter 12, Section 190 [...]

Molecular Pathology Procedures Reminder

Molecular Pathology Procedures Reminder National Government Services has been receiving many claims submitted for redetermination that were submitted for Group 3 Molecular Pathology Procedures. The Group 3 codes from LCD (L35000/A56199) are [...]

Physical, Occupational and Speech and Language Pathology Therapy Services: Prevent Easily Avoidable Errors

Physical, Occupational and Speech and Language Pathology Therapy Services: Prevent Easily Avoidable Errors Evaluation/Plan of Care Documentation Elements The POC must contain, at a minimum, the following required elements: Diagnoses [...]

National Government Services Proposed LCDs For Comment

National Government Services Proposed LCDs For Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 6/9/2022 through 7/23/2022. These [...]

CMS Medically Unlikely Edits

January 2024

In This Issue National Government Services Articles for Part A and Part B Providers New Version of PC-ACE: January 2024 January 2024 Billing and Coding Articles Updates Micro-invasive Glaucoma Surgery Update Improving Customer [...]

The Importance of Proper Documentation

The Importance of Proper Documentation The CERT contractor randomly selects claims providers submit to Medicare to determine if the claim was paid properly under Medicare coverage, coding and billing rules by requesting medical records. If the [...]