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Posting Date: 10/12/2022
Modifier GY
Modifier GY Providers should be aware of the guidelines for submitting the noncovered outpatient dental service for a denial when the patient has supplemental insurance or if a denial is needed for any other reason. Modifier GY is reported [...]
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Posting Date: 06/20/2024
Attention Clearinghouses and Vendors!
Attention Clearinghouses and Vendors! National Government Services is ready to accept Medicare Part B dental claims from your dental providers using the 837D dental claim transaction. Dental providers have the following options for submission [...]
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Posting Date: 06/07/2019
Opt Out Search
Opt Out Search Doctors/practitioners included in the opt out database are those who have elected to “opt out” of the Medicare Program and enter into private contracts with Medicare beneficiaries if specific requirements are met. By “opting [...]
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Posting Date: 08/27/2021
Physicians or Practitioners Eligible to Enter Into Private Contracts
Physicians or Practitioners Eligible to Enter into Private Contracts Eligible physicians and practitioners Physicians Physician assistants Nurse practitioners Clinical nurse specialists Certified registered nurse anesthetists Certified [...]
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Posting Date: 03/28/2024
Skilled Nursing Facility Town Hall Question and Answers
Skilled Nursing Facility Town Hall Questions and Answers Are daily notes required for skilled rehabilitation? Answer: Daily notes for rehabilitation are not required, however, they do support that therapy performed was skilled and [...]
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Posting Date: 08/03/2023
Skilled Nursing Facility Educational Center
Skilled Nursing Facility Educational Center As part of the effort to lower the SNF improper payment rate, CMS has initiated a five claim Skilled Nursing Facility Probe & Educate allowing for outreach to all Medicare billing SNFs in the [...]
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Posting Date: 08/03/2023
Coverage Requirements
Coverage Requirements Eligibility, preadmission, and 30-day transfer are components of coverage requirements for Skilled Nursing Facilities. There are several components to each of the coverage requirements; please utilize the links below to [...]
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Posting Date: 08/03/2023
Required Documentation
Required Documentation Table of Contents Required Documentation The medical record should contain patient specific information detailing Certification and Recertification Requirements Signature Requirement for Certifications and [...]
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