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Posting Date: 02/15/2024
Routine Foot Care and Debridement of Nails
Routine Foot Care and Debridement of Nails feet, toes, toenails, corns, calluses, trimming of nails, systemic disease L33636 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33636 A57759 [...]
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Posting Date: 10/19/2022
Clinical Trial Services and Modifiers Q0 and Q1
Clinical Trial Services and Modifiers Q0 and Q1 Table of Contents Clinical Trial Services and Modifiers Q0 and Q1 Q0 and Q1 Modifiers Use in Approved Clinical Trials Modifier Q0 Modifier Q1 Clinical Service Billing May Include [...]
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Posting Date: 10/19/2022
National Coverage Determination 190.3 - Cytogenetic Testing: Discretionary Diagnoses
National Coverage Determination 190.3 – Cytogenetic Testing: Discretionary Diagnoses Under NCD 190.3, Cytogenetic Testing, CMS allows contractors discretion in coverage of specific Indications. “As this policy indicates, individual A/B MACs [...]
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Posting Date: 10/19/2022
"What If" and Scenario Questions
"What If" and Scenario Questions Physician offices often contact us with different scenarios and "what if?" questions regarding coding and documentation for a particular service(s). Providers ask the contractors for a definitive response on [...]
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Posting Date: 10/19/2022
Medically Unlikely Edits Billing and Processing
Medically Unlikely Edits Billing and Processing Table of Contents Medically Unlikely Edits Billing and Processing Notes on MUE Processing Instructions MUE Program Inquires Related Content [Return to Top] Medically Unlikely Edits [...]
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Posting Date: 10/27/2022
Avoid Processing Delays by Following Proper Submission Guidelines
Avoid Processing Delays by Following Proper Submission Guidelines Table of Contents Avoid Processing Delays by Following Proper Submission Guidelines Claims Appeals Responding to an ADR Consider Submission via NGSConnex or Electronic [...]
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Posting Date: 10/27/2022
Acceptable Electronic Signatures Reminder
Acceptable Electronic Signatures Reminder Table of Contents Acceptable Electronic Signatures Reminder Examples of Acceptable Electronic Signature Examples [Return to Top] Acceptable Electronic Signatures Reminder CMS issued [...]
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Posting Date: 10/27/2022
Primary Care Exception Guidelines
Primary Care Exception Guidelines Services performed by attending physicians at teaching hospitals, in collaboration with house staff in an approved GME program, generally require evidence of direct care by the attending physician in order to [...]
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