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Posting Date:
MPFS Resources
Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. You must select Details to view policy indicator information. Full descriptions for policy indicators and values displayed can be found on the Fee [...]
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Posting Date: 05/26/2015
Overpayment Recovery Tool Page Top
Overpayment Recovery Tool The Overpayment Recovery Tool will allow you to quickly access information regarding overpayments identified by the DME MAC. Once you receive your overpayment demand letter, this tool will allow you [...]
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Posting Date: 12/19/2016
Top Customer Care Telephone Inquiries
Top Customer Care Telephone Inquiries The following chart provides a listing of the top provider customer care telephone inquiries and suggestions for locating this information. Type of Inquiry How to [...]
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Posting Date: 01/26/2021
RM 1_B_Who May File an Appeal
Who May Be a Representative Any individual may be appointed to act as a representative unless he/she is disqualified or suspended from acting as a representative in proceedings before the CMS or is otherwise prohibited by law. Possible [...]
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Posting Date: 10/07/2010
Medicare Quality Improvement Organization
Medicare Quality Improvement Organization Questions or complaints regarding quality of care and patient rights for a Medicare-covered service, please contact 1-800-MEDICARE (1-800-633-4227) to locate each state’s QIO. [...]
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Posting Date: 05/23/2019
DME National Supplier Clearinghouse
DME National Supplier Clearinghouse The primary role of the National Supplier Clearinghouse is to process the Medicare enrollment application from a DME supplier in order to be eligible to receive Medicare payment for covered services [...]
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Posting Date: 05/23/2019
Railroad Retirees Part B Questions
Railroad Retirees Part B Questions Palmetto GBA processes all Railroad Retirement Part B (medical) coverage claims and handles all inquiries for Railroad Retirees on a national basis. Railroad Retirees can call 877-772-5772 for their Part [...]
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Posting Date: 08/02/2016
About Medicare
About Medicare Part A Hospital Services Part A (hospital insurance) provides coverage of inpatient hospital, limited skilled nursing facility, home health & hospice care, and health care center services. National Government Services [...]
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Posting Date: 05/04/2021
CMS National Training Program
CMS National Training Program Access to the Centers for Medicare & Medicaid Services National Training Program Resources
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Posting Date: 10/24/2014
Membership Rosters
Membership Rosters Jurisdiction K Connecticut Maine, Massachusetts, New Hampshire, Rhode Island, Vermont New York Jurisdiction 6 Illinois, Minnesota, Wisconsin
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Posting Date: 09/14/2021
Temporary Holding for Some Part B Claims
An issue has been identified resulting in the need to hold a segment of claims until the appropriate system fix can be installed.
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Posting Date: 06/01/2021
06/21 B MMR: Evaluation and Management Coding: Medical Decision Making Moderate Point Scoring for Data Elements
Evaluation and Management Coding: Medical Decision Making Moderate Point Scoring for Data Elements On 1/1/2021, CMS approved and issued modifications to E/M coding guidelines that were originally developed and adopted by the AMA. This change [...]
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Posting Date: 09/17/2021
Review for codes 0207T and 0563T
Review for codes 0207T and 0563T Services for CPT 0207T (Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral), and CPT 0563T (Evacuation of meibomian glands, automated, using heat delivered through [...]
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Posting Date: 09/20/2021
Sample Results Letter
Sample Results Letter MAIL DATE PROVIDER NAME PROVIDER ADDRESS CITY, STATE, ZIP Provider PTAN/NPI Number: XXXXXXXX RE:Notice of Review - Targeted Probe and Education Results (Round X) Case Number: XXXXXX Dear Medicare Provider, Supplier [...]
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Posting Date: 09/20/2021
Botox Chemodenervation Administration Codes
The above-described administration codes are billed on the Part B claim without the corresponding drug J0585, J0586, J0587 or J0588 and the claim rejects with messages CO16 N56 MA130. The article A52848 indicates the drug should be billed on [...]
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