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Posting Date: 02/12/2025
HCPCS 90658 Claim Hold
Claim hold for CPT 90658 (influenza vaccine)
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Posting Date: 02/12/2025
FQHC Claim Hold Effective DOS 1/1/2025
CMS has issued claim hold instructions to all MACs, due to release and testing of a new FQHC pricer.
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Posting Date: 02/13/2025
[RESOLVED] Medicare Claim Process System Experiencing Outages
[RESOLVED] Medicare Claim Process System Experiencing Outages We were experiencing outages with our IVR and NGSConnex claim status functionality. Technical support was engaged and the issue is now resolved. The IVR and NGSConnex claim status [...]
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Posting Date: 08/13/2020
How To Get Started - Five Easy Steps
How To Get Started – Five Easy Steps Contact your vendor, clearinghouse or billing service to ensure they support the electronic attachment program which includes the following: 6020 version of the 277RFI transaction; HL7 CDA R2 [...]
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Posting Date: 02/14/2025
MLN Connects® Newsletter: February 14, 2025
MLN Connects® Newsletter: February 14, 2025 News Complex Non-Chemotherapeutic Drug Administration: Determining Payment for Services Claims, Pricers, & Codes Ambulance Fee Schedule: CY 2025 Inflation Factor Integrated Outpatient [...]
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Posting Date: 08/25/2022
PA Exemption Tool Top
Prior Authorization Exemption Status Inquiry Tool This is a self-service tool to allow both hospital or physician office staff responsible for submitting PARs, to check the exempt status of the HOPD. This tool will only recognize the [...]
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Posting Date: 02/17/2025
Reminder: New Medicare Part B Redetermination Notice Initiative
Reminder: New Medicare Part B Redetermination Notice Initiative As we’ve communicated, National Government Services is transitioning to electronic notifications for Part B Medicare Redetermination decisions when a Medicare Part B [...]
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Posting Date: 02/17/2025
Collaborative Urological Supplies Webinar Coming 3/27/2025
Collaborative Urological Supplies Webinar Coming 3/27/2025 This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of urological supplies. Representatives from all four [...]
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Posting Date: 11/12/2021
Requirements of Medicare Opt-Out Affidavit Agreement
Requirements of Medicare Opt-Out Affidavit Agreement Amendment 4507 of the Balanced Budget Act of 1997 permits a physician or practitioner to “opt out” of Medicare and enter into private contracts with Medicare beneficiaries if specific [...]
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Posting Date: 11/16/2021
Jurisdiction 6 State Licensing and Certification Websites
State Licensing and Certification Websites The following list contains helpful links to websites of some organizations within J6 that can be used to verify your status. Table of Contents Illinois Minnesota Wisconsin National [...]
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