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Posting Date: 10/30/2023
Proper Use of Modifiers JW and JZ
Proper Use of Modifiers JW and JZ National Government Services Provider Contact Center has received several inquiries regarding claim denials related to the use of the JW and JZ modifier for drugs/biologicals. As a reminder, effective [...]
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Posting Date: 10/28/2014
Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10
Claim Denials for Medically Unnecessary Ambulance Transports Table of Contents Claim Denials for Medically Unnecessary Ambulance Transports Medical Necessity and Coverage Guidelines for Ambulance Transport Avoiding Reason Code 55B10 [...]
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Posting Date: 09/24/2021
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Table of Contents Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Benefits Exhaust Date Submitting Claims Through the Benefits Exhaust Date [...]
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Posting Date: 10/31/2023
November 2023
In This Issue National Government Services Articles for Part A and Part B Providers Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar Decrease Burden and Combine Multiple PDFs in one Document Before Responding to [...]
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Posting Date: 11/01/2023
MLN Connects® Newsletter: Take Our Provider Survey Today - November 1, 2023
MLN Connects® Newsletter: Take Our Provider Survey Today - November 1, 2023 News Take Our Provider Survey Today Posted 11/1/2023
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Posting Date: 11/02/2023
MLN Connects® Newsletter: November 2, 2023
MLN Connects® Newsletter: November 2, 2023 News CY 2024 Home Health Prospective Payment System Final Rule CY 2024 End-Stage Renal Disease Prospective Payment System Final Rule Behavioral Health: Medicare Pays for 3 Services [...]
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Posting Date: 11/03/2023
MLN Connects® Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules - November 2, 2023
MLN Connects® Newsletter: PFS, OPPS/ASC, & OPPS 340B-Acquired Drug Final Rules - November 2, 2023 Final Rules CMS Finalizes Physician Payment Rule that Advances Health Equity CMS Makes Hospital Prices More Transparent and Expands [...]
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Posting Date: 02/02/2021
Who May File an Appeal
Who May File an Appeal Table of Contents Who May File an Appeal Appointment of Representative When Is an Appointment Not Necessary? Who May Be a Representative How to Make and Revoke an Appointment Required Elements When to Submit the [...]
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Posting Date: 02/02/2021
Submit an Appeal Electronically with NGSConnex
Submit an Appeal Electronically with NGSConnex Table of Contents Submit an Appeal Electronically with NGSConnex Step 1: Access NGSConnex Step 2: Submit an Electronic Appeal and Attach Documentation Step 3: Attach Documentation [...]
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Posting Date: 08/11/2021
Get Help Submitting an Appeal Hard Copy
Get Help Submitting an Appeal Hard Copy Table of Contents Get Help Submitting an Appeal Hard Copy Step 1: Complete the Appeals Request Form Helpful Tips: [Return to Top] Get Help Submitting an Appeal Hard Copy All levels of appeals [...]
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Posting Date: 02/24/2022
Reopenings for Minor Errors and Omissions
Reopenings for Minor Errors and Omissions Table of Contents Reopenings for Minor Errors and Omissions Reopening Facts What is a Clerical Error? Clerical Error and Omission Reopening Request Request a Reopening - NGSConnex Request a Reopening - [...]
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Posting Date: 02/02/2021
What Documents are Needed
What Documents are Needed Table of Contents What Documents are Needed Supporting Medical Records Ambulance Ambulatory Surgery, Operating Room, Lithotripsy and Preadmission Testing Cardiac Rehabilitation Clinic and Therapeutic [...]
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Posting Date: 03/23/2015
Medicare Provider & Supplier Search
Medicare Provider & Supplier Search Search the CMS Website Find a doctor Find a supplier Search the National Government Services Website Medicare Participating Physicians Directory
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Posting Date: 12/19/2016
Social Security Administration Resources
Social Security Administration Resources Common Issues Handled by the Social Security Administration The following Medicare-related issues are the responsibility of the Social Security Administration (SSA) and should be handled by your local [...]
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Posting Date: 10/07/2010
Social Security Administration
Social Security Administration All Medicare/Social Security-related questions are handled by the closest Social Security office in each Congressional district for each state. The following describe reasons to contact the SSA regarding [...]
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Posting Date: 04/26/2023
Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating
Tobacco Cessation Counseling Doesn’t Have To Be Lengthy or Intimidating Did you know that tobacco cessation counseling is a covered Medicare service? Brief tobacco counseling provides substantial health benefits while producing cost savings. [...]
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Posting Date: 11/06/2023
Common Definitions for Claim Submission Types
Common Definitions for Claim Submission Types Appeals An appeal is an independent review of the initial or revised determination. Proceeding with an appeal is the responsibility of the provider. Overall there are five levels of appeal the [...]
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Posting Date: 10/10/2022
The Great American Smokeout is Coming!
The Great American Smokeout is Coming! As a health care professional who provides care to patients with Medicare, you can help protect the health of your patients by encouraging them to take advantage of Medicare-covered preventive services, [...]
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Posting Date: 01/26/2015
State Health Insurance Assistance Program
State Health Insurance Assistance Program The State Health Insurance Assistance Program (SHIP) is a national program available in all states that offers free and unbiased one-on-one counseling and assistance to People with Medicare and [...]
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Posting Date: 06/04/2020
Beneficiary Contact Center
Beneficiary Contact Center People with Medicare have a single Medicare point-of-contact at: 1-800-MEDICARE 1-800-633-4227 TTY/TDD: 1-877-486-2048 1-800-MEDICARE connects you to a seamless network of customer service entities that [...]
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