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Posting Date: 06/07/2024
Exemption Process for the Prior Authorization Program for Certain Hospital Outpatient Department Services
The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization program for certain hospital outpatient department (OPD) services for date of service (DOS) on or after 7/1/2020 and subsequently added an exemption process. [...]
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Posting Date: 02/17/2025
Skilled Nursing Facility Coverage Basics
During this session, attendees will learn about Medicare Skilled Nursing Facility coverage, including Swing Beds. Topics will include the technical and medical requirements for inpatient services, what services can be considered for coverage as [...]
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Posting Date: 01/30/2025
Long-Term Care Hospitals: Interruptions
To prevent return to provider (RTP) claims, join us for this webinar in which we will review “three-day or less interruptions” as well as “greater than three-day interruptions” in a beneficiary’s long term care hospital (LTCH) stay, how to [...]
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Posting Date: 02/11/2025
Repetitive Scheduled Non-Emergent Ambulance Transports Prior Authorization
Attention All Independent Ambulance Suppliers! If you are providing repetitive, scheduled, non-emergent ambulance transports (RSNAT), you'll want to attend this webinar. Join us to learn everything you need to know about the RSNAT program.
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Posting Date: 01/29/2025
Medicare Part B Ambulance Coverage, Basics and Billing
During this webinar, we'll educate new staff or those needing a refresher on basic Medicare Part B ambulance billing guidelines.
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Posting Date: 01/17/2025
Prior Authorization for Certain Hospital Outpatient Department Services – Facet Joint Interventions
In this webinar, the Prior Authorization team will provide information about one of the eight hospital Outpatient Department services (OPD), Facet Joint Interventions (FJI). This webinar will address the medical necessity and general [...]
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Posting Date: 02/13/2025
Acute Care Hospitals: A Peek Inside the Three-Day Payment Window
To prevent return to provider (RTP) claims, join us for this webinar in which we will review the three-day payment window policy (a.k.a. bundling, preadmission services, diagnosis-related group [DRG] window, 72-hour rule) and provide billing [...]
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Posting Date: 01/28/2025
Billing Telehealth Services for Part B Providers
During this webinar, we’ll provide you with insight into covered Medicare telehealth services and coverage requirements. We’ll discuss originating sites, distant sites and billing and payment guidelines. Note: registration has reached maximum [...]
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Posting Date: 01/23/2025
Provider Enrollment: Initially Enrolling a Dentist in the Medicare Program
During this webinar, we’ll address the Medicare dental specialty codes and provide an overview of how to enroll using Provider Enrollment, Chain and Ownership System (PECOS) as well as using the CMS-855I paper application. This session is [...]
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Posting Date: 02/14/2025
Provider Enrollment: Initially Enrolling a Dentist in the Medicare Program
During this webinar, we’ll address the Medicare dental specialty codes and provide an overview of how to enroll using Provider Enrollment, Chain and Ownership System (PECOS) as well as using the CMS-855I paper application. This session is [...]
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