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  • Posting Date: 06/09/2020
    Proper Billing for Telehealth Services Claims

    Proper Billing for Telehealth Services Claims We have received a high volume of paper CMS-1500 claim forms for telehealth services with dates of service during the PHE that we have to reject because they are improperly coded with two different [...]

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  • Posting Date: 07/23/2020
    Prior Authorization Request Reminders

    Prior Authorization Request Reminders Effective for dates of service on or after 7/1/2020, a PAR is required for certain OPD services. For additional information on the Medicare Prior Authorization Program go to our website > log in to any [...]

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  • Posting Date: 06/04/2020
    Prior Authorization Program Becomes Effective for Dates of Service on/after 7/1/2020

    Prior Authorization Program Becomes Effective for Dates of Service on/after 7/1/2020 The CMS is implementing a prior authorization program for certain hospital outpatient department services effective for dates of service on or after 7/1/2020. [...]

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  • Posting Date: 01/16/2020
    Reminder: Providers on Automatic Immediate Recoupments

    Reminder: Providers on Automatic Immediate Recoupments If you are set up for automatic recoupments, please refrain from submitting checks and overpayment forms. Submitting receipts run the risk of money being offset and your check being [...]

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