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  • Posting Date: 10/02/2024
    OA-18

    Avoiding/Correcting This Error A duplicate claim submission occurs when a provider resubmits a claim either on paper or electronically for a single encounter and the service is provided by the same provider to the: same beneficiary; for the [...]

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  • Posting Date: 10/02/2024
    OA-18

    Avoiding/Correcting This Error A duplicate claim submission occurs when a provider resubmits a claim either on paper or electronically for a single encounter and the service is provided by the same provider to the: same beneficiary; for the [...]

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  • Posting Date: 10/02/2024
    PR-B9

    Avoiding/Correcting This Error When a Medicare beneficiary, or their authorized representative elects hospice all services related to the patient's terminal condition are handled by the hospice and not billed to Medicare Part B. If the patient [...]

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  • Posting Date: 10/07/2024
    PR-50

    Avoiding/Correcting This Error The CPT/HCPCS code reported is not covered for the beneficiary, and the beneficiary is liable for these charges. If you have reported an incorrect code, or forgot a modifier, the claim will need to be reviewed as [...]

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  • Posting Date: 10/02/2024
    Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin

    Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin L39513 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39513&ver=3&contractorName=1[...]

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  • Posting Date: 10/02/2024
    Pain Management

    Pain Management spine, spinal, trigger, injection, ganglion L33622 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33622 A52863 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52863 A59302 [...]

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  • Posting Date: 10/02/2024
    Vitamin D Assay Testing

    Vitamin D Assay Testing Bone Density, Osteopenia L37535 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37535 A57736 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57736 A55852 [...]

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  • Posting Date: 04/02/2024
    Medicare Preventive Services Resource Guide

    Medicare Preventive Services Resource Guide Medicare covers many preventive services to keep your patients healthy. Preventive services can help find health problems early, when treatment works best, and can help keep Medicare beneficiaries [...]

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