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Posting Date: 02/15/2024
Routine Foot Care and Debridement of Nails
Routine Foot Care and Debridement of Nails feet, toes, toenails, corns, calluses, trimming of nails, systemic disease L33636 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33636 A57759 [...]
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Posting Date: 10/19/2022
"What If" and Scenario Questions
"What If" and Scenario Questions Physician offices often contact us with different scenarios and "what if?" questions regarding coding and documentation for a particular service(s). Providers ask the contractors for a definitive response on [...]
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Posting Date: 10/19/2022
Medically Unlikely Edits Billing and Processing
Medically Unlikely Edits Billing and Processing Table of Contents Medically Unlikely Edits Billing and Processing Notes on MUE Processing Instructions MUE Program Inquires Related Content [Return to Top] Medically Unlikely Edits [...]
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Posting Date: 10/27/2022
Avoid Processing Delays by Following Proper Submission Guidelines
Avoid Processing Delays by Following Proper Submission Guidelines Table of Contents Avoid Processing Delays by Following Proper Submission Guidelines Claims Appeals Responding to an ADR Consider Submission via NGSConnex or Electronic [...]
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Posting Date: 10/27/2022
Acceptable Electronic Signatures Reminder
Acceptable Electronic Signatures Reminder Table of Contents Acceptable Electronic Signatures Reminder Examples of Acceptable Electronic Signature Examples [Return to Top] Acceptable Electronic Signatures Reminder CMS issued [...]
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Posting Date: 10/27/2022
Primary Care Exception Guidelines
Primary Care Exception Guidelines Services performed by attending physicians at teaching hospitals, in collaboration with house staff in an approved GME program, generally require evidence of direct care by the attending physician in order to [...]
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Posting Date: 10/27/2022
Cloned Documentation Could Result in Medicare Denials for Payment
Cloned Documentation Could Result in Medicare Denials for Payment Medicare providers today are faced with the challenges of providing quality healthcare while meeting ever increasing regulatory and compliance regulations. Many providers are [...]
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Posting Date: 10/27/2022
Documentation Required for Home Visits
Documentation Required for Home Visits CPT Codes 99341‒99350 As of 1/1/2019, CMS no longer requires providers to differentiate medical necessity for a home visit versus an office or outpatient visit. Providers no longer need to document [...]
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Posting Date: 10/27/2022
Referring, Monitoring and Certifying Home Health Services
Referring, Monitoring and Certifying Home Health Services Table of Contents Referring, Monitoring and Certifying Home Health Services Homebound Status Need for Skilled Services Under the Care of a Physician or Allowed Practitioner Plan [...]
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Posting Date: 10/27/2022
Scribing Medical Record Documentation
Scribing Medical Record Documentation National Government Services recognizes an increasing trend in providers’ use of scribes as assistants in medical record documentation. In these situations, a provider utilizes the services of staff to [...]
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