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Posting Date: 01/29/2021
Redetermination/Reopening Requests Online with NGSConnex
Redetermination/Reopening Requests Online with NGSConnex The NGSConnex web application allows providers/suppliers the ability to electronically submit and check the status of all redeterminations and/or reopenings requests online with no costs [...]
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Posting Date: 10/07/2010
Selecting the Appropriate Principal Diagnosis for Inpatient Services
Selecting the Appropriate Principal Diagnosis for Inpatient Services CERT analysis indicates providers are not coding the principal diagnosis to the highest level of specificity and/or selecting the most appropriate code for the inpatient [...]
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Posting Date: 01/29/2021
Complete Blood Count with Differential CPT Code 85025
Complete Blood Count with Differential CPT Code 85025 Error code 31 services incorrectly coded have been increasing in relation to CPT code 85025 - Complete blood count with differential (CBC w/Diff). Review of the CERT data shows that the [...]
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Posting Date: 01/29/2021
Evaluation and Management Codes
Evaluation and Management Codes E/M services are the most common CERT errors found with Medicare Part B claims. The medical records that were provided either do not support the level of service billed or do not indicate the service was [...]
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