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Posting Date: 01/12/2023
Physicians: Are You Ordering Knee Orthosis for Your Patients?
Physicians: Are You Ordering Knee Orthosis for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for the coverage criteria to be met. You’ll also learn how to help your [...]
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Posting Date: 08/15/2022
Staying Up To Date on Vaccines
Staying Up To Date on Vaccines It's important to stay up to date on vaccines. Vaccines protect your patients from serious illness and can keep them out of the hospital. Talk with your patients about which vaccines may be right for them, many [...]
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Posting Date: 03/22/2024
Hospice Certifying Physician Medicare Enrollment Information
Hospice Certifying Physician Medicare Enrollment Information Under CMS' current regulations, the hospice medical director or the physician member of the hospice interdisciplinary group (the “hospice physician”) and the attending physician (if [...]
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Posting Date: 05/09/2024
File an Amended Cost Report
Table of Contents File an Amended Cost Report Timeframe to Amend the Medicare Cost Report [Return to Top] File an Amended Cost Report A provider may elect to submit an amended cost report subsequent to the initial filing. The Centers [...]
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Posting Date: 05/09/2024
Get Your PS&R Reports
Table of Contents Get Your PS&R Reports Register to Receive the PS&R Report Instructions on How to Use Redesign Detail Reports [Return to Top] Get Your PS&R Reports The PS&R report is a tool used by Part A providers [...]
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Posting Date: 05/09/2024
Get Your PS&R Reports
The PS&R report is a tool used by Part A providers and MACs to prepare and process Medicare cost reports. Table of Contents Register to Receive the PS&R Report Instructions on How to Use Redesign Detail Reports [Return to Top] [...]
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Posting Date: 05/09/2024
Request a Due Date Extension
It may be necessary to request an extension for your cost report due date because of an extraordinary circumstance. An example of an extraordinary circumstance would be a flood or fire that forces a provider to cease operations and transfer [...]
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Posting Date: 05/09/2024
Request a Due Date Extension
It may be necessary to request an extension for your cost report due date because of an extraordinary circumstance. An example of an extraordinary circumstance would be a flood or fire that forces a provider to cease operations and transfer [...]
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Posting Date: 05/09/2024
File an Amended Cost Report
A provider may elect to submit an amended cost report subsequent to the initial filing. The CMS Medicare Paper-Based Manuals Publication 15-1, Provider Reimbursement Manual—Part I, Chapter 29 Section 2931.2A, allows the Medicare Administrative [...]
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Posting Date: 05/09/2024
Prepare and Submit a Cost Report
Table of Contents Prepare and Submit a Cost Report Submit Cost Report Documentation MCReF Other Electronic Media Formats Electronic Filing Requirements and List of Vendors Approved XML IRIS Vendors Home [...]
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Posting Date: 06/09/2022
Value-Based Insurance Design Model Hospice Benefit Component Overview
Value-Based Insurance Design Model Hospice Benefit Component Overview Beginning on 1/1/2021, CMS is testing the inclusion of the Part A Hospice Benefit within the MA benefits package through the Hospice Benefit Component of the VBID Model. [...]
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Posting Date: 05/14/2018
Canceling a Hospice Notice of Election
Canceling a Hospice Notice of Election When a patient elects hospice, the hospice submits a NOE to the MAC to notify the MAC and all other providers that the patient is now utilizing the Medicare hospice benefit for all services related to the [...]
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Posting Date: 05/22/2024
Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Beginning June 4th!
Medicare Part B 2024 Spring/Summer Virtual Conference: Mastering Medicare-Tuesday Tutorials for Part B Providers-Beginning June 4th! Seats are filling up quickly for our 2024 Spring/Summer Virtual Conference: Mastering Medicare- Tuesday [...]
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Posting Date: 05/23/2024
Attention All Providers, Billing Services and Clearinghouses Who Submit and Receive NGS EDI Transactions
Attention All Providers, Billing Services and Clearinghouses Who Submit and Receive NGS EDI Transactions As a reminder, when submitting the EDI Enrollment Application to National Government Services, only one form should be completed for any [...]
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Posting Date: 12/21/2017
Hospice Billing Codes Chart
Hospice Billing Codes Chart Table of Contents Hospice Billing Codes Chart Condition Codes (CC) (UB-04 FL 18-28) Occurrence Codes (OC) and Dates (UB-04 FLs 31-34) Occurrence Span Code and Date (UB-04 FLs 35-36) Value Codes (VCs) and CBSA [...]
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Posting Date: 09/23/2015
Completing the Advance Beneficiary Notice for Home Health Agency Demand Claims
Completing the Advance Beneficiary Notice of Noncoverage for Home Health Agency Demand Claims The purpose of the ABN is to appropriately notify a Medicare beneficiary of services that the HHA believes Medicare will not cover. In order for the [...]
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Posting Date: 05/08/2023
Home Health Billing When a New MBI is Assigned
Home Health Billing When a New MBI is Assigned A patient’s MBI number is required on all home health billing submitted to Medicare. CMS will issue a new MBI when an original MBI may have been, or has been compromised. There are times a home [...]
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Posting Date: 12/20/2016
Hospice Room and Board Denials
Hospice Room and Board Denials Medicare does not pay the room and board fees for hospice beneficiaries that reside in a SNF or a nursing facility (NF), as these charges are statutorily excluded from Medicare coverage. However, these charges [...]
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Posting Date: 12/20/2016
Reporting Site of Service Codes for Home Health Care
Reporting Site of Service Codes for Home Health Care HH PPS claim payments are based on the site of the beneficiary’s care. In order for Medicare to accurately capture where home health services are provided, HHAs are required to report the [...]
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Posting Date: 03/28/2016
Untimely Filed Notice of Election Circumstance Exception: Medicare Beneficiary Is Granted Retroactive Medicare Entitlement
Untimely Filed Notice of Election Circumstance Exception: Medicare Beneficiary Is Granted Retroactive Medicare Entitlement Table of Contents Untimely Filed Notice of Election Circumstance Exception: Medicare Beneficiary Is Granted [...]
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