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  • Posting Date: 10/26/2022
    About Provider Outreach and Education

    Medicare Part B 101 Manual About Provider Outreach and Education Table of Contents About Provider Outreach and Education Educational Activities Provider Outreach and Education Advisory Group [Return to Top] About Provider Outreach [...]

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  • Posting Date: 03/04/2021
    Appendix 3: Place of Service Codes

    Medicare Part B 101 Manual Appendix 3: Place of Service Codes Table of Contents Place of Service Codes Health Insurance Portability and Accountability Act Special Considerations Homeless Shelter (Code 04) Indian Health Service [...]

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  • Posting Date: 10/14/2024
    Reminder – Beginning 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR

    Reminder – Beginning 11/18/2024, Beneficiary Eligibility Information Not Offered on the IVR To help protect Medicare beneficiaries against fraud, CMS is instructing all MACs to remove beneficiary eligibility information from our IVR [...]

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    Inpatient Hospital Issued Notices

    Inpatient Hospital Issued Notices Applies to: All hospitals Medicare beneficiaries and hospitals have certain rights and protections related to financial liability and appeals under the Medicare Program. These financial liability and appeal [...]

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  • Posting Date: 02/01/2022
    Modifiers

    Modifiers Table of Contents General Modifier Information CPT Modifiers (Used in Medicare Part B) HCPCS Modifiers ABN Modifiers GA, GX, GY and GZ Ambulance Origin and Destination Modifiers [Return to Top] General Modifier [...]

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  • Posting Date: 10/31/2022
    Modifier Usage

    Modifier Usage Table of Contents E/M Services Within a Global Surgical Period – Modifiers 24, 25 and 57 24 – Unrelated E/M Service by the Same Physician During a Postoperative Period 25 – Significant, Separately Identifiable E/M [...]

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  • Posting Date: 08/05/2022
    Proper Use of Modifiers 59 and 91

    Proper Use of Modifiers 59 and 91 Table of Contents Modifier 59 Appropriate Usage Inappropriate Usage Modifier 91 Appropriate Usage Inappropriate Usage Additional Information Related Content [Return to Top] [...]

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  • Posting Date: 08/04/2022
    Repeat Procedures - Modifiers 76 and 77

    Repeat Procedures - Modifiers 76 and 77 Exact duplicate data fields submitted for claims include: Same beneficiary Same provider Same dates of service Same types of services Same place of service Same procedure codes Same billed [...]

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