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  • Posting Date: 02/20/2025
    Pre-Exposure Prophylaxis Using Antiretroviral Therapy to Prevent HIV Infection

    Preventive Services Guide Pre-Exposure Prophylaxis Using Antiretroviral Therapy to Prevent HIV Infection PrEP involves the use of antiretroviral drugs to decrease the risk of acquiring HIV. Under Section 1861(ddd)(1) of the Social Security [...]

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  • Posting Date: 02/24/2025
    Important Update for Part B Providers – New NCCI Lookup Tool

    Important Update for Part B Providers – New NCCI Lookup Tool The Medicare NCCI promotes accurate coding and prevents improper payments. We have added the NCCI Lookup Tool to our Part B Tools and Calculators page. This tool helps providers [...]

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  • Posting Date: 02/21/2025
    Common Working File Host Dark Days for April 2025 Release

    Common Working File Host Dark Days for April 2025 Release For Production, CWF will be observing the Gray Day on Thursday, April 3rd, and Dark Days starting Friday, April 4th through Sunday, April 6th to accommodate the anticipated duration of [...]

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  • Posting Date: 02/18/2025
    Inactivity

    Inactivity Medicare will routinely deactivate the billing privileges of those providers who fail to bill the Medicare Program for six consecutive months or more. Each billing account is considered separately for the deactivation criteria. This [...]

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  • Posting Date: 02/28/2019
    Do Not Forward “DNF”

    Do Not Forward “DNF” With implementation of the DNF initiative, contractors were required to use “return service requested” envelopes for hard copy RAs, hard-copy checks and returned EFT payments. If you are a provider that receives hard [...]

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  • Posting Date: 08/21/2018
    Site Visit Failure

    Site Visit Failure CMS reserves the right, when deemed necessary, to perform onsite review of a provider or supplier to verify that the enrollment information submitted to CMS or its agents is accurate and to determine compliance with Medicare [...]

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  • Posting Date: 02/28/2019
    Failure to Report Address Changes

    Failure to Report Address Changes Providers who fail to report an address change will result in suspension of Medicare payment.   All Medicare providers are responsible for providing their Medicare contractor with their current and [...]

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  • Posting Date: 03/26/2019
    Failure to Report a Change in Bank Account Information

    Failure to Report a Change in Bank Account Information Providers who fail to report a change in bank account information will result in suspension of Medicare payment and termination of Medicare billing privileges. All changes initiated by [...]

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