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  • Posting Date: 09/10/2021
    UTN Alert: Implanted Spinal Neurostimulator Trial and Permanent UTN

    UTN Alert: Implanted Spinal Neurostimulator Trial and Permanent UTN The National Government Services Medical Review Department initiated prior authorization reviews for the following outpatient department procedures: Panniculectomy, [...]

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  • Posting Date: 03/30/2023
    Type of Bill Code is a Requirement for All Prior Authorization Requests

    Type of Bill Code is a Requirement for All Prior Authorization Requests The National Government Services PA Department has seen an increase in cases that are submitted without a TOB code. PA staff conducts outreach to obtain this code; [...]

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  • Posting Date: 02/21/2022
    Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert

    Outpatient Department Prior Authorization Implanted Spinal Neurostimulators Alert Implanted Spinal Neurostimulator Prior Authorization National Government Services Medical Review initiated a prior authorization review outpatient department [...]

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  • Posting Date: 09/14/2023
    MLN Connects® Newsletter: September 14, 2023

    MLN Connects® Newsletter: September 14, 2023     News Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation CMS Roundup (Sept 8, 2023) New Provider [...]

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  • Posting Date: 10/31/2019
    Billing for Originating Site

    Billing for Originating Site Originating Site An originating site is the location of an eligible Medicare beneficiary at the time the telehealth services is being furnished via a telecommunications system. Medicare beneficiaries are eligible [...]

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  • Posting Date: 10/31/2019
    Distant Site

    Distant Site The term “distant site” means the site where the physician or practitioner providing the professional service is located at the time the service is provided via a telecommunications system. Medicare distant site practitioners who [...]

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  • Posting Date: 10/31/2019
    General Information

    General InformationTelehealth services require use of an interactive audio and video telecommunications system that permits real-time communication between the provider at the distant site and the Medicare beneficiary at the originating [...]

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  • Posting Date: 10/31/2019
    Originating Site

    Originating Site An originating site is the location of an eligible Medicare beneficiary at the time the telehealth services is being furnished via a telecommunications system. Medicare beneficiaries are eligible for telehealth services only [...]

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