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  • Posting Date: 04/17/2025
    Medicare Secondary Payer: Let’s Chat About Preparing MSP and Conditional Claims

    Were you unable to attend our Medicare Secondary Payer (MSP) and/or Conditional Billing webinars in January and February? Do you have questions about these topics? If so, join us for this "Let's Chat" session! You may ask questions and receive [...]

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  • Posting Date: 04/17/2025
    Learn Over Lunch-NGSConnex Introduction

    Are you considering utilizing NGSConnex and want to learn more about this portal? During this brief webinar, we will provide an overview of NGSConnex and all it has to offer.

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  • Posting Date: 07/07/2021
    MSP Right Hand

    Helpful Resources BCRC Contact Information Note: Providers should not contact the BCRC to set up new MSP records. Instead, report MSP coding on your MSP and conditional claims. Providers should not contact the BCRC to correct MSP records to [...]

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  • Posting Date: 04/17/2025
    Using the Medicare Coverage Database: How to Find Important Medicare Coverage Information

    Are you responsible for looking up whether a service is covered in the Medicare Program at your facility but you're not sure where to look for the most relevant information? As a healthcare provider, you are responsible for understanding and [...]

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  • Posting Date: 04/17/2025
    New P.O. Boxes for Part B Claim Submitters in Connecticut and New York (Upstate Counties and Queens)

    New P.O. Boxes for Part B Claim Submitters in Connecticut and New York (Upstate Counties and Queens) Effective 5/19/2025, National Government Services (NGS) is closing the following Paper Claim Submission P.O. Boxes:  P.O. Box 6185 [...]

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  • Posting Date: 11/21/2024
    Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q)

    Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q) This stringent claim editing process helps ensure that Medicare does not make payments for services rendered to beneficiaries who are not eligible due to being [...]

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  • Posting Date: 12/09/2024
    Incarcerated or Unlawfully present in the US claim rejections (U538H, U538Q)

    Incarcerated or Unlawfully Present in the U.S. Claim Rejections (U538H, U538Q) This stringent claim editing process helps ensure that Medicare does not make payments for services rendered to beneficiaries who are not eligible due to being [...]

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  • Posting Date: 04/17/2025
    34538

    Avoiding/Correcting This Error To avoid this error: When submitting your Medicare primary claim, report the reason Medicare is primary using claim coding in Prevent an MSP Rejection on a Medicare Primary Claim. To correct this [...]

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  • Posting Date: 04/17/2025
    34538

    Avoiding/Correcting This Error To avoid this error: When submitting your Medicare primary claim, report the reason Medicare is primary using claim coding in Prevent an MSP Rejection on a Medicare Primary Claim. To correct this [...]

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  • Posting Date: 04/17/2025
    34538

    Avoiding/Correcting This Error To avoid this error: When submitting your Medicare primary claim, report the reason Medicare is primary using claim coding in Prevent an MSP Rejection on a Medicare Primary Claim. To correct this [...]

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  • Posting Date: 04/17/2025
    MLN Connects® Newsletter: April 17, 2025

    MLN Connects® Newsletter: April 17, 2025 News Clotting Factors: Medicare Part B Pays for Alhemo & Qfitlia Skilled Nursing Facilities: Revalidation Deadline Extended to August 1 Raise Awareness & Understanding of Alcohol Use and [...]

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  • Posting Date: 03/11/2025
    April Code Set Update for PC Print: April 2025

    April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements:    CR13891 Implement Operating Rules – Phase III [...]

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  • Posting Date: 04/08/2025
    April Code Set Update for PC Print: April 2025

    April Code Set Update for PC Print: April 2025 The PC Print April code set update will be available on our website 4/9/2025. The update contains the following enhancements:    CR13891 Implement Operating Rules - Phase III [...]

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  • Posting Date: 04/08/2025
    New Version of PC-ACE: April 2025

    New Version of PC-ACE: April 2025 PC-ACE Version 6.6 contains several CMS mandates and product enhancements including but not limited to the items listed below. 13891 – Implement Operating Rules – Phase III Electronic Remittance Advice [...]

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  • Posting Date: 05/25/2022
    Illinois, Minnesota, Wisconsin

    Member Name Group Email Aldrich, Elizabeth IPW (Independent Physicians of Wisconsin), Allen Family Practice ealdrich@ipw-offices.org Anderson, Benita Aurora Health Care Benita.Anderson@aurora.org [...]

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  • Posting Date: 05/12/2023
    NGSConnex: Initiating and Checking Status of Reconsiderations

    Did you know that you can save time and money by requesting a reconsideration via NGSConnex? When you submit reconsideration requests electronically using NGSConnex, you no longer need to complete a form, copy documentation and waste time with [...]

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  • Posting Date: 06/07/2024
    Exemption Process for the Prior Authorization Program for Certain Hospital Outpatient Department Services

    The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization program for certain hospital outpatient department (OPD) services for date of service (DOS) on or after 7/1/2020 and subsequently added an exemption process. [...]

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  • Posting Date: 01/08/2025
    Counseling to Prevent Tobacco Use

    In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

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  • Posting Date: 01/02/2025
    Counseling to Prevent Tobacco Use

    In an effort to raise awareness and increase utilization of tobacco use counseling, we’ll focus on the effects of nicotine dependence including affected health consequences during this webinar. Medicare coverage, coding, billing and [...]

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  • Posting Date: 01/08/2025
    Ambulance Services and Establishing Medical Necessity for Part B Providers

    This webinar will help the ambulance community understand the importance of medical necessity as it pertains to Medicare’s coverage guidelines.

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