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Posting Date: 09/15/2020
October 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes
October 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes The DDE CWF Inquiry Screen (MAP175M) will display the ABPM and will include the technical and professional dates for HCPCS 93784. The MBI Eligibility FROM and [...]
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Posting Date: 06/24/2020
Registered Dietitians and COVID-19 Allowances for Billing
Registered Dietitians and COVID-19 Allowances for Billing National Government Services has received clarification from CMS in regard to registered dietitians/nutritionists billing. When CPT codes 98966‒98968 were originally opened to coverage [...]
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Posting Date: 05/07/2020
Radiopharmaceuticals Invoice or Acquisition Cost Submission Reminder
Radiopharmaceuticals Invoice or Acquisition Cost Submission Reminder National Government Services has identified situations where claims are being submitted for radiopharmaceuticals without an invoice or acquisition cost provided. For [...]
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Posting Date: 03/02/2020
Quality Innovation Networks - Quality Improvement Organizations Quality Initiatives
Quality Innovation Networks - Quality Improvement Organizations Quality Initiatives CMS leads a national health care quality improvement network of Quality Innovation Networks – Quality Improvement Organizations (QIN-QIOs). Locally, an [...]
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Posting Date: 08/28/2020
Providers' Obligation to Report and Refund Medicare Overpayments with Appropriate Forms
Providers' Obligation to Report and Refund Medicare Overpayments with Appropriate Forms Healthcare providers have an obligation to report and refund federal program overpayments and continue to do so, but National Government Services would [...]
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Posting Date: 10/07/2020
Provider Enrollment Reconsideration Request Reminders
Provider Enrollment Reconsideration Request Reminders National Government Services has been receiving reconsiderations of provider enrollment credentialing requests that do not fall into the appropriate criteria for reconsiderations due to the [...]
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Posting Date: 06/09/2020
Proper Billing for Telehealth Services Claims
Proper Billing for Telehealth Services Claims We have received a high volume of paper CMS-1500 claim forms for telehealth services with dates of service during the PHE that we have to reject because they are improperly coded with two different [...]
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Posting Date: 07/23/2020
Prior Authorization Request Reminders
Prior Authorization Request Reminders Effective for dates of service on or after 7/1/2020, a PAR is required for certain OPD services. For additional information on the Medicare Prior Authorization Program go to our website > log in to any [...]
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Posting Date: 06/04/2020
Prior Authorization Program Becomes Effective for Dates of Service on/after 7/1/2020
Prior Authorization Program Becomes Effective for Dates of Service on/after 7/1/2020 The CMS is implementing a prior authorization program for certain hospital outpatient department services effective for dates of service on or after 7/1/2020. [...]
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Posting Date: 01/16/2020
Reminder: Providers on Automatic Immediate Recoupments
Reminder: Providers on Automatic Immediate Recoupments If you are set up for automatic recoupments, please refrain from submitting checks and overpayment forms. Submitting receipts run the risk of money being offset and your check being [...]
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