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Posting Date: 05/03/2024
About Prior Authorization
About Prior Authorization CMS has implemented Prior Authorization (PA) programs nationwide to ensure that Medicare beneficiaries continue to receive medically necessary care while protecting the Medicare Trust Fund from improper payments. PA [...]
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Posting Date: 06/09/2021
OPD Facility/Physician Communication
OPD Facility/Physician Communication What does this mean for the Part B Provider who will be performing the service in the hospital OPD? The performing provider, must work alongside the hospital OPD staff to obtain PA for the services to be [...]
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Posting Date: 09/08/2021
Billing Reminder: When a Skilled Nursing Facility Payment Ban is in Effect
Billing Reminder: When a Skilled Nursing Facility Payment Ban is in Effect CMS may impose a DPNA against the SNF when the facility is not in compliance with the requirements of participation under the Social Security Act at Sections 1819(h) [...]
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Posting Date: 10/07/2010
PS&R/Cost Report Crosswalk
PS&R/Cost Report Crosswalk Did you know you have access to crosswalks between the PS&R Summary Report and the Medicare cost report? Our Medicare Audit and Reimbursement Department created crosswalk tools for hospitals and [...]
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