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  • Posting Date: 12/22/2022
    Therapy Requirements for Inpatient Rehabilitation Facilities

    Therapy Requirements for Inpatient Rehabilitation Facilities The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-02, Medicare Benefit Policy Manual, Chapter 1 is the primary source for inpatient [...]

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  • Posting Date: 01/04/2024
    Correct Coding Reminder for Breast Imaging

    Correct Coding Reminder for Breast Imaging When there are no abnormal and inconclusive findings on mammography and the only finding is dense breast tissue (ICD-10-CM codes R92.30-R92.34), the provision of an ultrasound is considered screening. [...]

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  • Posting Date: 01/04/2024
    MLN Connects® Newsletter: January 4, 2024

    MLN Connects® Newsletter: January 4, 2024 News CMS Roundup (Dec 29, 2023) In-Home Vaccine Administration: Additional Payment Organizational Providers: Do You Need to Revalidate Your Enrollment Record Soon? Value-Based Insurance Design [...]

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  • Posting Date: 01/05/2024
    340B Drug Payment Policy Remedy Payment for CY 2018 to CY 2022

    340B Drug Payment Policy Remedy Payment for CY 2018 to CY 2022 On 6/15/2022, the Supreme Court held in American Hospital Association v. Becerra that because CMS had not conducted a survey of hospitals’ acquisition costs, it could not vary the [...]

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