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Posting Date: 03/02/2022
April 2022 Release "Dark Days" for the Common Working File Hosts
April 2022 Release "Dark Days" for the Common Working File Hosts For the upcoming April 2022 Release: For Production, CWF will be observing the Gray Day on Thursday, 3/31/2022 and Dark Days starting Friday, 4/1/2022 through Sunday, 4/3/2022 [...]
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Posting Date: 03/02/2022
Chronic Care Management with Transitional Care Management Clarification
Chronic Care Management with Transitional Care Management Clarification TCM policy indicates that it is billable in the same month that CCM services are performed. MLN® Booklet Transitional Care Management Services includes a listing of the [...]
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Posting Date: 03/02/2022
Social Security Income Ratios
Social Security Income Ratios The federal fiscal year 2020 SSI ratios for IPPS hospitals, IRFs and LTCHs were posted on the CMS website. IPPS IRF LTCH We will update the latest published 2020 SSI ratios in the Provider Specific File of [...]
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Posting Date: 03/01/2022
Medicare Advantage Plan Beneficiaries Receiving the COVID-19 Vaccine and Monoclonal Antibody
Medicare Advantage Plan Beneficiaries Receiving the COVID-19 Vaccine and Monoclonal Antibody Effective 1/1/2022, claims for COVID-19 vaccinations or monoclonal antibody treatment provided to patients enrolled in MA plans on or after 1/1/ 2022, [...]
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Posting Date: 02/24/2022
February and March 2022 Billing and Coding Article Updates
February and March 2022 Billing and Coding Article Updates Billing and Coding: Peripheral Nerve Blocks (A57452) This article has been updated due to a provider request to add diagnosis code G58.0 to Group 1 in the "ICD-10 codes that support [...]
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Posting Date: 02/04/2022
Provider Compliance Virtual Focus Group - February 24, 2022
Provider Compliance Virtual Focus Group - February 24, 2022 Thursday, 2/24/2022 from 1:00–4:00 p.m. ET Register by Friday, 2/18/2022 - Registration Closed How can CMS improve its processes and eliminate unnecessary requirements for [...]
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Posting Date: 02/14/2022
Prior Authorization Requests Submitted by Exempt Providers Alert
Prior Authorization Requests Submitted by Exempt Providers Alert The National Government Services PA Department has observed an increase in submission of PAR for exempt providers. These submissions are from the HOPD and/or physician offices on [...]
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Posting Date: 02/08/2022
2022 Gap-Fill Request for Information
2022 Gap-Fill Request for Information National Government Services, the MAC for JK and J6, is in receipt of the new laboratory test codes identified by the CMS to be gap-fill priced for 2022. The PAMA regulations instruct the MACs to establish [...]
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