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Posting Date: 12/20/2024
What Is Abuse_Part A_B_FQHC_HHH
What Is Abuse? What Is Abuse? Abuse describes incidents or practices that are: not medically necessary as defined by Medicare guidelines; or inconsistent with accepted sound medical, business or fiscal practices. Abuse occurs when individuals [...]
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Posting Date: 12/20/2024
Fraud and Abuse_Part A_B_FQHC_HHH
Fraud & Abuse Fraud & Abuse Medicare fraud can cost the United States government hundreds of millions of dollars each year and the dollars lost increase the strain on the Medicare Trust Fund. CMS works with other government contractors and law [...]
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Posting Date: 12/20/2024
How Do I Report Suspected Fraud_Part A_B_FQHC_HHH
How Do I Report Suspected Fraud? How Do I Report Suspected Fraud? Table of Contents How Do I Report Suspected Fraud? Department of Health and Human Services OIG CMS Fraud Prevention Tools Instructions for Accessing the Medscape Modules [Return [...]
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Posting Date: 06/02/2023
Billing Original Fee-for-Service Medicare? You Can Help STOP Assignment Violations!
Billing Original Fee-for-Service Medicare? You Can Help STOP Assignment Violations! Table of Contents Billing Original Fee-for-Service Medicare? You can Help STOP Assignment Violations! What is the Definition of Medicare Assignment? [...]
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Posting Date: 02/23/2017
What is NGSConnex?
What is NGSConnex? NGSConnex is a free, secure, web-based application developed by National Government Services just for you! NGSConnex provides access to a wide array of self-service functions that save you time and money, such as: Obtain [...]
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Posting Date: 01/02/2025
The Medicare Appeals Process: What You Need to Know
This informative session will help you navigate Medicare’s appeals process by providing information on what an appeal is, how to determine if a claim can be appealed, who may file an appeal, the appeal levels, timeframes and documentation [...]
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Posting Date: 01/02/2025
Who is My LSO?
Who is My LSO? Select the Manage Account button on the NGSConnex home page. Select User Profile and scroll down to the ‘System Access’ section. Select the Checkbox next to the provider record you want to determine the LSO for. [...]
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Posting Date: 01/02/2025
Magnetic Resonance Angiography (MRA)
Magnetic Resonance Angiography (MRA) gadolinium, contrast, imaging L33633 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33633 A56747 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56747 70544, [...]
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