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Posting Date: 09/11/2019
Important Update for Skilled Nursing Facilities - CMS Updated the SNF PDPM Web Page
Important Update for Skilled Nursing Facilities - CMS Updated the SNF PDPM Web page The SNF PPS PDPM was implemented on 10/1/2019 to replace the Resource Utilization Group, Version IV (RUG-IV) for the SNF PPS. SNF PDPM will improve [...]
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Posting Date: 07/02/2019
Genetic Testing Fraud Scam Directed at Medicare Beneficiaries
Genetic Testing Fraud Scam Directed at Medicare Beneficiaries The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about a fraud scheme involving genetic testing. Please review the Fraud Alert: [...]
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Posting Date: 12/16/2019
Ensure Referral Forms Include the MBI
Ensure Referral Forms Include the MBI Providers have expressed concern regarding referral forms that do not include the new Medicare number, the MBI, they receive from providers who have referred a Medicare beneficiary to them for services. [...]
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Posting Date: 06/14/2019
July 2019 Release Dark Days for the Common Working File Host
July 2019 Release Dark Days for the Common Working File Host For the upcoming July 2019 Release, CWF will be observing dark days starting Friday, 6/28/2019, through Sunday, 6/30/2019 to accommodate the anticipated duration of this activity and [...]
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Posting Date: 06/13/2019
July 2019 Fiscal Intermediary Standard System Direct Data Entry Screen Changes
July 2019 Fiscal Intermediary Standard System Direct Data Entry Screen Changes The following updates will be made to existing screens and implemented on 7/1/2019. MAP1716 Claim page (6) – INIT DRG field will be displayed this is a 4-byte [...]
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Posting Date: 05/31/2019
July 2019 EDI Front-End Quarterly Release
July 2019 EDI Front-End Quarterly Release Please be advised that while the CMS-mandated quarterly release for July 2019 will be installed the weekend of 6/30/2019, the code set updates included with this release will not be effective in the [...]
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Posting Date: 12/10/2019
January 2020 Release "Dark Days" for the Common Working File Hosts
January 2020 Release "Dark Days" for the Common Working File Hosts For the upcoming January 2020 Release: New Year’s Day holiday – observed Wednesday, January 1st – No cycles (onlines available). CWF will be observing dark days starting [...]
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Posting Date: 10/01/2019
Center for Medicare and Medicaid Innovation Remittance Remark
Center for Medicare and Medicaid Innovation Remittance Remark Attention providers: If you are receiving a remark stating "CMMI" payment on your remittance this is regarding a QPP payment. Please direct any questions regarding QPP to [...]
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Posting Date: 10/01/2019
October is National Breast Cancer Awareness Month
October is National Breast Cancer Awareness Month Breast Cancer Screening and Mammography Breast cancer is one of the most common kinds of cancer in women. According to the U.S. Department of Health and Human Services, about one in eight [...]
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Posting Date: 08/07/2019
Important News from CGS, Jurisdiction B DME MAC: Prior Authorization Condition of Payment for Certain Power Mobility Devices
Important News from CGS, Jurisdiction B DME MAC: Prior Authorization Condition of Payment for Certain Power Mobility Devices If you have Medicare patients who are seeking prior authorization of a power mobility devices, please review the CGS [...]
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