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Posting Date: 07/29/2022
Documentation for Hospice Transfers
Documentation for Hospice Transfers The purpose of a hospice transfer is to allow the beneficiary the opportunity to switch agencies without affecting their benefit period in an effort to provide continuity of care. Instead of the beneficiary [...]
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Posting Date: 07/22/2016
Provider Letter of Authorization
Provider Letter of Authorization This form is completed by the provider/facility that is authorizing access to a third party billing service to perform FISS/DDE functions on their behalf. What is the Billing Service Name? This is the [...]
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Posting Date: 07/22/2016
EDI Enrollment Agreement Form
EDI Enrollment Agreement Form This form is a required document by CMS allowing a provider to exchange electronic transactions with the MAC. This form is effective as long as the provider is exchanging Medicare claims with the MAC, carrier, or [...]
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Posting Date: 07/22/2016
EDI Gateway Self-Service Password Portal
EDI Gateway Self-Service Password Portal As an EDI Trading Partner, you will be able to use the EDI Gateway Self-Service Password Portal located on the EDI web page on our website. This provides a simple and secure web-based process for [...]
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