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4,628 Results for 2022
  • Posting Date: 08/13/2024
    How to Submit a Hardship Request

    To request a hardship consideration, submit with a letter and any supporting documentation describing the hardship and why it justifies the exception for your application. Your hardship request will not be considered if it is received [...]

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  • Posting Date: 08/02/2022
    State License and Registrations for Certified Providers and Suppliers

    State License and Registrations for Certified Providers and Suppliers Prior to submitting a provider enrollment application to Medicare, ensure that all applicable state requirements are met for your provider type. Each state has unique [...]

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  • Posting Date: 08/15/2022
    Eligible Institutional Providers

    Eligible Institutional Providers Certified Providers and Certified Suppliers that Enroll via the Form CMS-855A. Unique statutory and regulatory requirements for these types of providers/suppliers are addressed in the CMS IOM Publication [...]

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  • Posting Date: 08/15/2024
    MLN Connects® Newsletter: August 15, 2024

    MLN Connects® Newsletter: August 15, 2024 News Negotiating for Lower Drug Prices Works, Saves Billions Resources & Flexibilities to Assist with the Public Health Emergency in Florida, Georgia, and South Carolina Hospitals: New EMTALA [...]

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  • Posting Date: 08/15/2024
    Additional Development Requests for Part A Claims for CPT J9299

    Additional Development Requests for Part A Claims for CPT J9299 A system error on 7/25/2024 caused ADR letters to be issued in error on Part A claims for CPT J9299 with DOS on or after 3/1/2024. The issue has been resolved and all impacted [...]

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  • Posting Date: 08/04/2023
    End-Stage Renal Disease: Medicare Part A Quick Reference Manual

    End-Stage Renal Disease: Medicare Part A Quick Reference Manual Table of Contents ESRD Provider PTAN Number Range: Third through sixth digit FL 04 Type of Bill FL 6 Statement Covers Period FL 18-28 Condition Codes FL 18-28 Condition [...]

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  • Posting Date: 07/08/2024
    Claim Submission Guidelines

    Claim Submission Guidelines CMS developed and transmitted HCPCS and PFS payment and coding files to include revisions to add other CDT codes and indicated parameters for payment to implement the finalized Medicare Parts A and B payment for [...]

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  • Posting Date: 08/19/2024
    Disproportionate Share Hospital

    The Medicare DSH adjustment provision under Section 1886(d) (5) (F) of the Act was enacted by section 9105 of the COBRA of 1985 and became effective for discharges occurring on or after 5/1/1986. According to section 1886(d) (5) (F) of the Act, [...]

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  • Posting Date: 08/20/2024
    Electronically Submitted Claims that Exceed $99,999.99 Reminder

    Electronically Submitted Claims that Exceed $99,999.99 Reminder Electronically submitted claims containing a dollar amount in excess of 99,999.99 will be rejected as a front-end EDI edit. The Standard Companion Guide for Health Care Claim: [...]

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  • Posting Date: 08/22/2024
    MLN Connects® Newsletter: August 22, 2024

    MLN Connects® Newsletter: August 22, 2024 News Commemorating the 2nd Anniversary of the Lower Cost Prescription Drug Law MolDx Local Coverage Determination Statement Hospital Price Transparency: Get Resources to Help You Comply New [...]

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  • Posting Date: 06/12/2023
    Facet Joint Interventions

    Facet Joint Interventions National Government Services will begin accepting PARs for Facet Joint Intervention codes on 6/15/2023 for services provided beginning on or after 7/1/2023.   To meet coverage criteria, the patient’s medical [...]

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  • Posting Date: 07/06/2021
    Part B

    Part B  Home Education Help and FAQs Manuals Medicare Monthly Review Medicare Topics Medicare University News POE Advisory Group Specialties Resources Claims and Appeals Contact Us EDI Enrollment EDI Solutions Forms [...]

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  • Posting Date: 07/06/2021
    FQHC

    FQHC and RHC  Home Education Help and FAQs Manuals Medicare Monthly Review Medicare Topics Medicare University News POE Advisory Group Specialties Resources Claims and Appeals Contact Us Cost Reports EDI Enrollment EDI [...]

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  • Posting Date: 07/06/2021
    Part A

    Part A  Home Education Help and FAQs Manuals Medicare Monthly Review Medicare Topics Medicare University News POE Advisory Group Specialties Resources Claims and Appeals Contact Us Cost Reports EDI Enrollment EDI [...]

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  • Posting Date: 07/06/2021
    Home Health and Hospice

    Home Health and Hospice  Home Education Help and FAQs Manuals Medicare Monthly Review Medicare Topics Medicare University News POE Advisory Group Specialties Resources Claims and Appeals Contact Us Cost Reports EDI [...]

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  • Posting Date: 08/23/2024
    Direct Graduate Medical Education/Indirect Medical Education

    Direct Graduate Medical Education Table of Contents Direct Graduate Medical Education Indirect Medical Education [Return to Top] Direct Graduate Medical Education Section 1886(h) of the Act as added by section 9202 of the COBRA of [...]

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  • Posting Date: 07/06/2023
    Original Medicare Coverage Costs

    Original Medicare Coverage Costs Important Links Medicare News Fact Sheet Your Medicare Costs Your Medicare Benefits Your Medicare Coverage Your Medicare Coverage for Home Health Services Your Medicare Coverage for Hospice Care [...]

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  • Posting Date: 08/27/2024
    Physician Fee Schedule Look-Up

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  • Posting Date: 02/15/2024
    Routine Foot Care and Debridement of Nails

    Routine Foot Care and Debridement of Nails feet, toes, toenails, corns, calluses, trimming of nails, systemic disease L33636 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33636 A57759 [...]

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  • Posting Date: 10/19/2022
    "What If" and Scenario Questions

    "What If" and Scenario Questions Physician offices often contact us with different scenarios and "what if?" questions regarding coding and documentation for a particular service(s). Providers ask the contractors for a definitive response on [...]

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