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Posting Date: 01/15/2021
IDM Go-Live Guidance for Providers using PS&R and/or MCReF
IDM Go-Live Guidance for Providers using PS&R and/or MCReFThe EIDM system that you use for accessing PS&R and MCReF is being replaced by the new IDM system on the weekend of 1/15/2021. Your account will be automatically converted from [...]
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Posting Date: 10/07/2010
POE Advisory Group
POE Advisory GroupMeeting MinutesMeeting SchedulesMembership RostersMission and Charter
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Posting Date: 10/07/2010
POE Advisory Group
POE Advisory GroupMeeting MinutesMeeting SchedulesMembership RostersMission and Charter
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Posting Date:
Medicare Diabetes Prevention Program (MDPP)
This section gives you access/education about first time Enrollment.
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Posting Date: 02/16/2021
Supplemental Right Side Content Part A
Helpful ResourcesTPE Manual
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Posting Date: 08/11/2015
How to Respond to Additional Development Requests for Herceptin Billing
How to Respond to Additional Development Requests for Herceptin BillingSeveral providers are responding to Herceptin-related ADRs without providing the required information. Herceptin billing must contain the number of milligrams that were used [...]
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Posting Date: 05/21/2018
How to View and Print ADRs from FISS/DDE
How to View and Print ADRs from FISS/DDESteps to View and Print ADRs from FISS/DDE Provider Online SystemAccess the claims through the Claims Inquiry screen/option. Type 01 at the FISS/DDE Online System Main Menu and then type 12 on the [...]
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Posting Date: 07/07/2021
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators Alert
Outpatient Department Prior Authorization for Implanted Spinal Neurostimulators AlertImplanted Spinal Neurostimulator Prior AuthorizationNational Government Services Medical Review initiated prior authorization reviews for the outpatient [...]
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Posting Date: 06/11/2018
Anesthesia Furnished in Conjunction with Colonoscopy (Modifier 33 Versus Modifier PT) Policy Update
Anesthesia Furnished in Conjunction with Colonoscopy (Modifier 33 Versus Modifier PT) Policy UpdateIn the CY 2018 PFS Final Rule, the CMS modified reporting and payment for anesthesia services furnished in conjunction with and in support [...]
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Posting Date: 01/13/2021
Provider Enrollment for Part A Providers
Provider Enrollment for Part A ProvidersHave you changed location? Remember to update your address and phone number in PECOS so National Government Services departments can reach you if needed.How do I update my information?Part A providers can [...]
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Posting Date: 12/04/2020
Provider Enrollment Application Fee Amount for CY 2021
Provider Enrollment Application Fee Amount for CY 2021On 11/23/2020, CMS issued a notice: Provider Enrollment Application Fee Amount for Calendar Year 2021. Effective 1/1/2021, the application fee is $599 for institutional providers (as that [...]
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Posting Date: 07/07/2021
Reopenings for Minor Errors and Omissions
Reopenings for Minor Errors and OmissionsA clerical error/omission reopening is an action taken to change an initial determination to correct minor errors or omissions outside of the Medicare appeal process.Reopening [...]
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Posting Date: 01/19/2016
Electronic Data Interchange Help Desk E-mail Inquiry Form Assistance
EDI E-mail Inquiry Form Assistance*Required Field - An asterisk adjacent to the form field indicates that completion is required.Line of BusinessList the line of business for this inquiry or issue. Choose from the drop-down box.Medicare [...]
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Posting Date: 08/18/2016
Protected Health Information and Personally Identifiable Information Email Guidelines
Protected Health Information and Personally Identifiable Information Email GuidelinesThe following information is considered PHI and PII. Note: These lists are not all-inclusive. If additional information is required to research an inquiry, [...]
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Posting Date: 07/09/2021
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as Unprocessable
Reminder: Medicare Prior Authorization Information Not Valid for Part B Submission – Claims Will Reject as UnprocessableThis notice is being published as a reminder to all Medicare Part B providers. When you are submitting a claim to National [...]
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Posting Date: 07/08/2021
Integrating Behavioral Health Care with Primary Care
Integrating Behavioral Health Care with Primary CareWhat is BHI? Medicare Behavioral Health Integration is a service for your patient that does not require the use of a behavioral health care team.Primary care physicians who are treating [...]
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Posting Date: 07/08/2021
Psychiatric Collaborative Care Education for the Provider and Beneficiary
Psychiatric Collaborative Care Education for the Provider and BeneficiaryDid you know that the psychiatric CoCM integrates primary and behavioral health care and is considered an effective strategy in improving outcomes for beneficiaries [...]
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Posting Date: 10/30/2014
End-Stage Renal Disease Laboratory Tests Job Aid
End-Stage Renal Disease Laboratory Tests Job AidDialysis Type: Hemodialysis, CCPD, IPD, HemofiltrationNon-AMCC Laboratory TestsFrequency/CPT CodesTest Name/AbbreviationPer treatment:85013 or 8501485018VariousHematocrit (Hct)Hemoglobin [...]
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Posting Date: 01/16/2020
What Physicians Need to Know: Home Health Patient-Driven Groupings Model
What Physicians Need to Know: Home Health Patient-Driven Groupings ModelIn November 2018, CMS finalized a new case-mix classification model, the PDGM, effective beginning 1/1/2020. The PDGM relies more heavily on clinical characteristics and [...]
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Posting Date: 10/07/2010
Medicare & You
Medicare & YouDownload the official Medicare & You handbook with important information about what’s covered by Medicare, preventive services, health plans, prescription drug plans, and your rights and appeals.
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