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Posting Date: 08/04/2023
End-Stage Renal Disease: Medicare Part A Quick Reference Manual
End-Stage Renal Disease: Medicare Part A Quick Reference Manual Table of Contents ESRD Provider PTAN Number Range: Third through sixth digit FL 04 Type of Bill FL 6 Statement Covers Period FL 18-28 Condition Codes FL 18-28 Condition [...]
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Posting Date: 07/08/2024
Claim Submission Guidelines
Claim Submission Guidelines CMS developed and transmitted HCPCS and PFS payment and coding files to include revisions to add other CDT codes and indicated parameters for payment to implement the finalized Medicare Parts A and B payment for [...]
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Posting Date: 08/19/2024
Disproportionate Share Hospital
The Medicare DSH adjustment provision under Section 1886(d) (5) (F) of the Act was enacted by section 9105 of the COBRA of 1985 and became effective for discharges occurring on or after 5/1/1986. According to section 1886(d) (5) (F) of the Act, [...]
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Posting Date: 08/20/2024
Electronically Submitted Claims that Exceed $99,999.99 Reminder
Electronically Submitted Claims that Exceed $99,999.99 Reminder Electronically submitted claims containing a dollar amount in excess of 99,999.99 will be rejected as a front-end EDI edit. The Standard Companion Guide for Health Care Claim: [...]
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Posting Date: 08/22/2024
MLN Connects® Newsletter: August 22, 2024
MLN Connects® Newsletter: August 22, 2024 News Commemorating the 2nd Anniversary of the Lower Cost Prescription Drug Law MolDx Local Coverage Determination Statement Hospital Price Transparency: Get Resources to Help You Comply New [...]
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Posting Date: 06/12/2023
Facet Joint Interventions
Facet Joint Interventions National Government Services will begin accepting PARs for Facet Joint Intervention codes on 6/15/2023 for services provided beginning on or after 7/1/2023. To meet coverage criteria, the patient’s medical [...]
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