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Posting Date: 04/03/2024
RC 55A00 or 55A01 Denials for Denosumab
National Government Services is aware of an issue that is causing claims to deny in error with reason code 55A00 or 55A01. The claims involved are for Denosumab (J0897) - Billing and Coding article – A52399 and are firing on edit 5XX84.
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Posting Date: 04/03/2024
Part A Claims Returning to Provider (RTP) RC 38361
Claims are continuing to incorrectly RTP even when the prior claims are not No Pay Claims.
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Posting Date: 04/03/2024
Rural Health Claims Impacted by FS2540
This utility will adjust Rural Health claims - 71X TOB Reimbursed incorrectly with the implementation of FS2540 in the A20232CP release Installed to production on 5/15/23 Note: changes for FS2540 were backed out with FS2540R1 on 6/13/23. [...]
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Posting Date: 04/02/2024
Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD
Temporary Relief Available for Providers on Medical Review That Have Been Impacted by CHOPD Per the direction of CMS, as of 3/27/2024, National Government Services may grant extensions for responses to ADRs to providers under active medical [...]
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