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Posting Date: 10/30/2023
Proper Use of Modifiers JW and JZ
Proper Use of Modifiers JW and JZ National Government Services Provider Contact Center has received several inquiries regarding claim denials related to the use of the JW and JZ modifier for drugs/biologicals. As a reminder, effective [...]
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Posting Date: 10/28/2014
Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10
Claim Denials for Medically Unnecessary Ambulance Transports Table of Contents Claim Denials for Medically Unnecessary Ambulance Transports Medical Necessity and Coverage Guidelines for Ambulance Transport Avoiding Reason Code 55B10 [...]
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Posting Date: 09/24/2021
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Table of Contents Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Benefits Exhaust Date Submitting Claims Through the Benefits Exhaust Date [...]
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Posting Date: 10/31/2023
November 2023
In This Issue National Government Services Articles for Part A and Part B Providers Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar Decrease Burden and Combine Multiple PDFs in one Document Before Responding to [...]
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Posting Date: 11/01/2023
MLN Connects® Newsletter: Take Our Provider Survey Today - November 1, 2023
MLN Connects® Newsletter: Take Our Provider Survey Today - November 1, 2023 News Take Our Provider Survey Today Posted 11/1/2023
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Posting Date: 11/02/2023
MLN Connects® Newsletter: November 2, 2023
MLN Connects® Newsletter: November 2, 2023 News CY 2024 Home Health Prospective Payment System Final Rule CY 2024 End-Stage Renal Disease Prospective Payment System Final Rule Behavioral Health: Medicare Pays for 3 Services [...]
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Posting Date: 11/03/2023
MLN Connects® Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules - November 2, 2023
MLN Connects® Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules - November 2, 2023 Final Rules CMS Finalizes Physician Payment Rule that Advances Health Equity CMS Makes Hospital Prices More Transparent and Expands [...]
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Posting Date: 02/02/2021
Who May File an Appeal
Who May File an Appeal Table of Contents Who May File an Appeal Appointment of Representative When Is an Appointment Not Necessary? Who May Be a Representative How to Make and Revoke an Appointment Required Elements When to Submit the [...]
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Posting Date: 02/02/2021
Submit an Appeal Electronically with NGSConnex
Submit an Appeal Electronically with NGSConnex Table of Contents Submit an Appeal Electronically with NGSConnex Step 1: Access NGSConnex Step 2: Submit an Electronic Appeal and Attach Documentation Step 3: Attach Documentation [...]
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Posting Date: 08/11/2021
Get Help Submitting an Appeal Hard Copy
Get Help Submitting an Appeal Hard Copy Table of Contents Get Help Submitting an Appeal Hard Copy Step 1: Complete the Appeals Request Form Helpful Tips: [Return to Top] Get Help Submitting an Appeal Hard Copy All levels of appeals [...]
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