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Posting Date: 03/18/2021
Provider Enrollment: Change in Practice Location
Provider Enrollment: Change in Practice LocationThe fastest way to update a provider enrollment record is through PECOS for the individual (NPI Type 1) or entity/group (NPI Type 2). PECOS allows you to edit, add and delete information according [...]
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Posting Date: 10/09/2020
COVID-19 Accelerated/Advance Payment Revised Repayment Terms
COVID-19 Accelerated/Advance Payment Revised Repayment TermsThe recently enacted Continuing Appropriations Act, 2021 and Other Extensions Act amended the repayment terms for the COVID-19 accelerated/advance payments. The changes to the [...]
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Posting Date: 03/29/2021
COVID-19: RHC and FQHC Lump Sum Payments
COVID-19: RHC and FQHC Lump Sum PaymentsRural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) may request lump sum payments for administering COVID-19 vaccines in advance of cost report settlement. CMS will pay you for [...]
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Posting Date: 03/30/2021
Responding to a Hospice ADR
Responding to a Hospice ADRNational Government Services performs medical review audits of services billed to Medicare to validate that the documentation supports coverage and level of services billed.When you receive an ADR, it is important to [...]
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Posting Date: 03/29/2021
Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After 1/1/2021
Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After 1/1/2021CR12108Posted 3/29/2021
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Posting Date: 03/29/2021
Update to Rural Health Clinic (RHC) Payment Limits
Update to Rural Health Clinic (RHC) Payment LimitsCR12185Posted 3/29/2021
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Posting Date: 03/26/2021
Local Coverage Determination L33626: Psychiatric Partial Hospitalization Programs
Local Coverage Determination L33626: Psychiatric Partial Hospitalization ProgramsA psychiatric partial hospitalization is a distinct and organized intensive psychiatric outpatient treatment of less than 24 hours of daily care, designed to [...]
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Posting Date: 03/15/2021
Outpatient Prospective Payment System Payment Rate for HCPCS Code A9591
Outpatient Prospective Payment System Payment Rate for HCPCS Code A9591CMS identified an error with the January 2021 OPPS Pricer file where the OPPS payment rate for HCPCS A9591 was incorrect.The correct OPPS payment rate for A9591 [...]
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