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Posting Date: 06/26/2023
End of the Public Health Emergency
End of the Public Health Emergency We’ve received many questions related to end of the public health emergency and changes to waivers that CMS put in place during the COVID-19 PHE. To assist our providers, we’ve developed the CMS Waivers and [...]
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Posting Date: 06/26/2023
COVID-19 Vaccine Administration Returning to Providers - Reason Code 32287
Claims for COVID-19 vaccine administration performed on the same DOS as another vaccine administration (e.g., PPV, flu or tetanus) are incorrectly being returned to providers with RC 32287.
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Posting Date: 06/26/2023
Part A Anesthesia Claim Returning to Providers in Error
CMS has instructed all MACs to hold all Part A 13X and 85X TOBs for anesthesia services with DOS on or after 1/1/2022 until CMS fully implements a replacement file for these claims.
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Posting Date: 06/26/2023
Temporary Holding for Some Part B Claims
The CMS billing instructions for G0378 indicate a single line of coding with a NOS of at least eight, with all UOS on a single line and the DOS being the date of the original observation order. Claim editing changes implemented in July, 2021 [...]
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