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Posting Date: 02/06/2023
Steps for Success in a Targeted Probe and Educate Review
Steps for Success in a Targeted Probe and Educate Review We’ve provided tips and tricks to assist you with succeeding in a TPE review and the post-probe educational process. Content presented includes: Getting started with TPE Updating the [...]
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Posting Date: 02/08/2023
End of Public Health Emergency Brings Change
End of Public Health Emergency Brings Change The end of the PHE is near and you may have questions. CMS and National Government Services want to ensure a seamless transition from the flexibilities enacted as a result of the COVID-19 [...]
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Posting Date: 02/09/2023
Hospice Cap Self-Reporting Reminder for the 2022 Cap Year
Hospice Cap Self-Reporting Reminder for the 2022 Cap Year The hospice cap self-reporting for the 2022 cap year (10/1/2021-9/30/2022) is due no later than 2/28/2023. Hospice providers should submit the pro-forma calculation along with [...]
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Posting Date: 02/09/2023
CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder
CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder National Government Services has received many calls in relation to the CMS updates to the Clinical Laboratory Fee Schedule for 2023. Providers have identified instances of not [...]
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Posting Date: 02/10/2023
MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023
MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 News Medicare Part B Drug Inflation Rebates HHS Releases Initial Guidance for Medicare Prescription Drug Inflation Rebate [...]
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Posting Date: 02/13/2023
2023 Evaluation and Management Services – Prolonged Services
2023 Evaluation and Management Services – Prolonged Services Based on recent CMS clarifications for 2023 Evaluation and Management Services, particularly for prolonged services, National Government Services is now revising some previously [...]
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Posting Date: 02/14/2023
Home Health Claims Incorrectly Receiving Reason Code U538E
HH final and adjusted claims with 2022 dates of service are receiving U538E incorrectly, when there is an older period on file. This prevents providers from being able to adjust these claims and update patient status from “06” to any other [...]
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Posting Date: 02/16/2023
MLN Connects® Newsletter: February 16, 2023
MLN Connects® Newsletter: February 16, 2023 News Billing Medicare Part B for Insulin with New Limits on Patient Monthly Coinsurance Unprecedented Efforts to Increase Transparency of Nursing Home Ownership CMS Proposes [...]
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Posting Date: 02/17/2023
New Service Added to the Hospital Outpatient Department Prior Authorization Program
New Service Added to the Hospital Outpatient Department Prior Authorization Program Effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the HOPD services requiring prior authorization as a [...]
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Posting Date: 02/22/2023
Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions
Chimeric Antigen Receptor (CAR) T-cell Therapy Billing Instructions Effective for dates of service on or after 8/7/2019, Medicare will pay claims from approved providers for administration of autologous T-cells expressing at least one CAR for [...]
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