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Posting Date: 01/27/2021
LCD and Article Updates for January and February 2021
LCD and Article Updates for January and February 2021Billing and Coding: Filgrastim, Pegfilgrastim, Tbo-filgrastim and biosimilars (A52408)HCPCS code Q5122 has been added to the "CPT/HCPCS Codes" section.Billing and Coding: Intravenous Immune [...]
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Posting Date: 01/13/2021
Chiropractors and Physical Therapists Billing Medicare for Therapy Services
Chiropractors and Physical Therapists Billing Medicare for Therapy ServicesIf a chiropractor or a physical therapist submits an “always therapy” code, they MUST submit the appropriate physical therapy modifier (GN, GO, GP) with the code.If the [...]
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Posting Date: 01/08/2021
New Documentation Requirements for Filing Medicare Cost Reports
New Documentation Requirements for Filing Medicare Cost ReportsAttention: The FY 2019 Medicare IPPS final rule changed the required supporting documentation that must be submitted with the Medicare cost report. CMS also published MLN Matters [...]
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Posting Date: 01/13/2021
COVID-19 Cost Report Due Date Extensions
COVID-19 Cost Report Due Date Extensions Due to updated instructions received from CMS relative to the COVID-19 public health emergency, and in [...]
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Posting Date: 11/03/2020
Caring for Medicare Patients is a Partnership
Caring for Medicare Patients is a PartnershipCaring and treating your patients is not something that is done within a silo for any practitioner. In order to provide the best possible service and the best medical outcome for any patient requires [...]
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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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