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Posting Date: 02/27/2020
MLN Connects® for Thursday, February 27, 2020
MLN Connects® for Thursday, February 27, 2020 COVID-19 Coding Guidance MLN Connects® for Thursday, February 27, 2020 View this edition as a PDF News Quality Payment Program: MIPS 2019 Data Submission Period Open through March 31 [...]
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Posting Date: 02/27/2020
Make Today the Day - Sign Up for Medicare Diabetic and Prevention Program Email Updates
Make Today the Day ‒ Sign Up for Medicare Diabetic and Prevention Program Email Updates The MDPP supplier Email Updates are the mechanism by which MDPP suppliers will receive important information and reminders, such as upcoming due [...]
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Posting Date: 02/26/2020
Amending Medical Records
Amending Medical Records Amendments, Corrections and Delayed Entries in Medical Documentation All services provided to beneficiaries are expected to be documented in the medical record at the time they are rendered. [...]
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Posting Date: 02/24/2020
Did You Know that the Medicare Part B Overpayment Form Has Been Retired?
Did You Know that the Medicare Part B Overpayment Form Has Been Retired? Our records indicate some providers are still using the retired Medicare Part B Overpayment Form. The new process for provider-initiated non MSP overpayments is as [...]
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Posting Date: 02/24/2020
Article Revisions: February 2020
Article Revisions: February 2020 The medical policies and related articles can be found in our Medical Policy Center. Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy (A57826) The [...]
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Posting Date: 02/20/2020
MLN Connects® for Thursday, February 20, 2020
MLN Connects® for Thursday, February 20, 2020 Bill Correctly for Medicare Telehealth Services MLN Connects® for Thursday, February 20, 2020 View this edition as a PDF News CMS Develops New Code for Coronavirus Lab Test [...]
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Posting Date: 02/13/2020
MLN Connects® for Thursday, February 13, 2020
MLN Connects® for Thursday, February 13, 2020 Protect Your Patients from Influenza MLN Connects® for Thursday, February 13, 2020 View this edition as a PDF News DMEPOS Items Subject to Prior Authorization Influenza Activity [...]
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Posting Date: 02/07/2020
Reassignment of Medicare Benefits: Revised CMS-855R Required May 1
Reassignment of Medicare Benefits: Revised CMS-855R Required May 1 Physicians and non-physician practitioners: Use the revised CMS-855R (Reassignment of Benefits) application once it is posted on the CMS Forms List (go.usa.gov/cuu5Y) in early [...]
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Posting Date: 02/06/2020
MLN Connects® for Thursday, February 6, 2020
MLN Connects® for Thursday, February 6, 2020 New Medicare Provider Enrollment Educational Tool MLN Connects® for Thursday, February 6, 2020 View this edition as a PDF News Open Payments Registration Promoting Interoperability [...]
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Posting Date: 01/30/2020
MLN Connects® for Thursday, January 30, 2020
MLN Connects® for Thursday, January 30, 2020 Genetic Testing and Innovative Antibiotics MLN Connects® for Thursday, January 30, 2020 View this edition as a PDF News CMS Expands Coverage of NGS as Diagnostic Tool for Patients with [...]
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Posting Date: 01/30/2020
Calendar Year 2019 1099 Form Information
Calendar Year 2019 1099 Form Information National Government Services will mail all 1099 Forms for CY 2019 by 1/31/2020. Medicare providers and beneficiaries who are serviced by NGS, regardless of their location, will receive a single Part A [...]
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Posting Date: 01/24/2020
LCD and Article Revisions: January–February 2020
LCD and Article Revisions: January–February 2020 The medical policies and related articles can be found in our Medical Policy Center LCD Revisions Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture [...]
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Posting Date: 01/23/2020
MLN Connects® for Thursday, January 23, 2020
MLN Connects® for Thursday, January 23, 2020 Medicare Learning Network Celebrates 20 Years MLN Connects® for Thursday, January 23, 2020 View this edition as a PDF News Medicare Learning Network Celebrates 20 Years CMS Updates [...]
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Posting Date: 03/23/2020
MLN Connects® Special Edition for Monday, March 23, 2020
MLN Connects® Special Edition for Monday, March 23, 2020 COVID-19: Relief for Quality Reporting Programs and Provider Enrollment Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in [...]
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Posting Date: 03/20/2020
Provider Enrollment Hot Line for Matters Related to COVID-19
Provider Enrollment Hot Line for Matters Related to COVID-19 As a result of the effects of 2019 Novel Coronavirus (COVID-19), a national emergency exists nationwide. On 3/13/2020, the Administrator of CMS authorized nationwide waivers under [...]
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Posting Date: 03/20/2020
National Government Services LCD Open Meeting
National Government Services LCD Open Meeting The transcript and recording of the 2/26/2020 LCD Open Meeting are now available on our website at Open Meeting Records. Posted 3/20/2020
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Posting Date: 03/19/2020
Matching Assessments to Home Health Claims
Matching Assessments to Home Health Claims CMS has recently published instructions on validating the OASIS and claim match for home health claims. SE20010 titled “Ensure Required Patient Assessment Information for Home Health Claims” [...]
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Posting Date: 03/19/2020
April 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes
April 2020 Fiscal Intermediary Standard System Direct Data Entry Screen Changes The purpose of the new HCPCS screen (1E) is to provide information related to HCPCS pricing and allowable revenue codes related to HCPCS. To access the new HCPCS [...]
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Posting Date: 03/19/2020
Incorrect Provider Types Billing Care Plan Oversight Services for Patients Receiving Care
Incorrect Provider Types Billing Care Plan Oversight Services for Patients Receiving Care CPO is physician supervision of patients under the home health or hospice benefit where the patient requires complex or multi-disciplinary care requiring [...]
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Posting Date: 03/19/2020
MLN Connects® for Thursday, March 19, 2020
MLN Connects® for Thursday, March 19, 2020 Interoperability and Patient Access MLN Connects® for Thursday, March 19, 2020 View this edition as a PDF News Quality Payment Program: 2020 Facility-Based Status Lower Extremity Joint [...]
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Posting Date: 03/17/2020
MLN Connects® Special Edition for Tuesday, March 17, 2020
MLN Connects® Special Edition for Tuesday, March 17, 2020 President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak CMS Outlines New Flexibilities Available to People with Medicare The Trump [...]
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Posting Date: 03/16/2020
MLN Connects® Special Edition for Friday, March 13, 2020
MLN Connects® Special Edition for Friday, March 13, 2020 COVID-19: Test Pricing, Diagnostic Lab Tests, Pricing & Codes, and EHB Coverage COVID-19: Test Pricing; Diagnostic Lab Tests, Pricing & Codes; and EHB Coverage Quarterly [...]
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Posting Date: 03/16/2020
MLN Connects® Special Edition for Monday, March 16, 2020
MLN Connects® Special Edition for Monday, March 16, 2020 COVID-19: FFS Response and Nursing Home Visitor Guidance Medicare FFS Response to COVID-19 The HHS Secretary declared a public health emergency, which allows for CMS programmatic [...]
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Posting Date: 03/12/2020
MLN Connects® for Thursday, March 12, 2020
MLN Connects® for Thursday, March 12, 2020 2019 Novel Coronavirus Guidance MLN Connects® for Thursday, March 12, 2020 View this edition as a PDF News CMS Sends More Detailed Guidance to Providers about COVID-19 HHS Finalizes [...]
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Posting Date: 03/09/2020
MLN Connects® Special Edition for Friday, March 6, 2020
MLN Connects® Special Edition for Friday, March 6, 2020 CMS Develops Additional Code for Coronavirus Lab Tests Agency Issues Fact Sheets Detailing Coverage under Programs On March 6, CMS took additional actions to ensure America’s patients, [...]
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Posting Date: 03/09/2020
MLN Connects® Special Edition for Monday, March 9, 2020
MLN Connects® Special Edition for Monday, March 9, 2020 COVID-19 Response: CMS Issues FAQs to Assist Medicare Providers On March 6, CMS issued frequently asked questions and answers (FAQs) for health care providers regarding Medicare payment [...]
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Posting Date: 03/05/2020
MLN Connects® for Thursday, March 5, 2020
MLN Connects® for Thursday, March 5, 2020 Ambulance Fee Schedule, Transports & Data Collection MLN Connects® for Thursday, March 5, 2020 View this edition as a PDF News DMEPOS Suppliers: HCPCS Codes Affected by Further [...]
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Posting Date: 03/05/2020
MLN Connects® Special Edition for Wednesday, March 4, 2020
MLN Connects® Special Edition for Wednesday, March 4, 2020 CMS Announces Actions to Address Spread of Coronavirus CMS calls on all health care providers to activate infection control practices and issues guidance to inspectors as they inspect [...]
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Posting Date: 04/07/2020
MLN Connects® Special Edition for Tuesday, April 7, 2020
MLN Connects® Special Edition for Tuesday, April 7, 2020 COVID-19: Telehealth Video, Coinsurance and Deductible Waived, ASC Attestations, Ambulance Modifiers, Lessons From Front Lines, MLN Call Today New Video Available on Medicare Coverage [...]
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Posting Date: 04/06/2020
Pricing of HCPCS G2066 - Update
Pricing of HCPCS G2066 — Update On 3/12/2020 NGS posted an article on our website regarding a fee adjustment for HCPCS G2066 (Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, [...]
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Posting Date: 04/03/2020
MLN Connects® Special Edition for Friday, April 3, 2020
MLN Connects® Special Edition for Friday, April 3, 2020 COVID-19: Telehealth Billing Correction, Nursing Home Recommendations, Billing for Multi-Function Ventilators, New ICD-10-CM Diagnosis Code Billing for Professional Telehealth [...]
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Posting Date: 04/02/2020
MLN Connects® for Thursday, April 2, 2020
MLN Connects® for Thursday, April 2, 2020 Interoperability and Patient Access Final Rule Call — April 7 MLN Connects® for Thursday, April 2, 2020 View this edition as a PDF News IRF Provider Preview Reports: Review Your Data by [...]
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Posting Date: 03/31/2020
COVID-19 Cost Report Due Date Extensions
COVID-19 Cost Report Due Date Extensions Due to instructions received from CMS relative to the COVID-19 pandemic, and in accordance with 42CFR§413.24(f)(2)(ii), the due date for submission of any Medicare cost report with an original due date [...]
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Posting Date: 03/31/2020
MLN Connects® Special Edition for Tuesday, March 31, 2020
MLN Connects® Special Edition for Tuesday, March 31, 2020 COVID-19: Regulatory Changes, Telehealth Billing, and Specimen Collection Codes Trump Administration Makes Sweeping Regulatory Changes to Help U.S. Health Care System Address [...]
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Posting Date: 03/30/2020
MLN Connects® Special Edition for Monday, March 30, 2020
MLN Connects® Special Edition for Monday, March 30, 2020 COVID-19: Financial Relief, Nursing Home Telehealth, Quality Reporting, Clinical Laboratories, Hospital Data Sharing Trump Administration Provides Financial Relief for [...]
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Posting Date: 03/26/2020
MLN Connects® Special Edition for Thursday, March 26, 2020
MLN Connects® Special Edition for Thursday, March 26, 2020 COVID-19: Enrollment Relief, Open Payments, Beneficiary Notices 2019-Novel Coronavirus (COVID-19) Medicare Provider Enrollment Relief Frequently Asked Questions (FAQs) Frequently [...]
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Posting Date: 03/25/2020
[Update] President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak; CMS Outlines New Flexibilities Available to People with Medicare
[Update] President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak; CMS Outlines New Flexibilities Available to People with Medicare On 3/17/2020, CMS announced that FFS Medicare is expanding coverage for [...]
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Posting Date: 03/23/2020
MLN Connects® Special Edition for Friday, March 20, 2020
MLN Connects® Special Edition for Friday, March 20, 2020 COVID-19: Telehealth and Non-Essential Procedures Medicare FFS Response to the Public Health Emergency on the Coronavirus (COVID-19) — Revised COVID-19 Elective Surgeries and [...]
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Posting Date: 05/07/2020
MLN Connects® for Thursday, May 7, 2020
MLN Connects® for Thursday, May 7, 2020 More COVID-19 Updates MLN Connects® for Thursday, May 7, 2020 View this edition as a PDF News CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes Home [...]
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Posting Date: 05/01/2020
MLN Connects® Special Edition for Thursday, April 30, 2020
MLN Connects® Special Edition for Thursday, April 30, 2020 COVID-19: Second Round of Sweeping Changes, RHC & FQHC Flexibilities, EMTALA New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health [...]
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Posting Date: 04/21/2020
HCPCS Codes U0003 and U0004 for COVID Testing
HCPCS Codes U0003 and U0004 for COVID Testing In the 4/15/2020 press release, CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests, CMS announced a higher payment for certain laboratory tests where the technology used for [...]
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Posting Date: 04/20/2020
MLN Connects® Special Edition for Monday, April 20, 2020
MLN Connects® Special Edition for Monday, April 20, 2020 COVID-19: Nursing Home Transparency, Recommendations for Areas with Low Incidence of Disease Trump Administration Announces New Nursing Homes COVID-19 Transparency Effort CMS [...]
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Posting Date: 04/17/2020
MLN Connects® Special Edition for Friday, April 17, 2020
MLN Connects® Special Edition for Friday, April 17, 2020 COVID-19: RHC & FQHC Flexibilities, Increased Payment for Lab Tests, Hospital Waivers, Call Audio and Transcript RHC & FQHC Flexibilities During COVID-19 Public Health [...]
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Posting Date: 04/16/2020
MLN Connects® for Thursday, April 16, 2020
MLN Connects® for Thursday, April 16, 2020 3 Proposed Payment Rules MLN Connects® for Thursday, April 16, 2020 View this edition as a PDF News Hospice Payment Rate Update Proposed Rule for FY 2021 IPF Prospective [...]
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Posting Date: 04/15/2020
MLN Connects® Special Edition for Wednesday, April 15, 2020
MLN Connects® for Wednesday, April 15, 2020 COVID-19: Reprocessing Hospital Claims, Essential Diagnostic Services, Non-Invasive Ventilators IPPS Hospitals, LTCHs: Reprocessing Claims for CARES Act Trump Administration Announces Expanded [...]
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Posting Date: 04/14/2020
Provider Compliance Tips for Nebulizers and Related Drugs Fact Sheet - Revised
Provider Compliance Tips for Nebulizers and Related Drugs Fact Sheet - Revised A revised Provider Compliance Tips for Nebulizers and Related Drugs Medicare Learning Network Fact Sheet is available. Learn about: coverage requirements [...]
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Posting Date: 04/14/2020
PWK Submission Reminders
PWK Submission Reminders National Government Services has identified several issues with PWK submissions from providers. We are issuing this article as a notification to alert provider offices to systems and processes that you may have in [...]
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Posting Date: 04/10/2020
MLN Connects® Special Edition for Friday, April 10, 2020
MLN Connects® Special Edition for Friday, April 10, 2020 COVID-19: Infection Control, Maximizing Workforce, Updated Q&A, CS Modifier for Cost-Sharing, Payment Adjustment Suspended CMS Issues New Wave of Infection Control Guidance to [...]
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Posting Date: 04/09/2020
MLN Connects® for Thursday, April 9, 2020
MLN Connects® for Thursday, April 9, 2020 Important COVID-19 Updates MLN Connects® for Thursday, April 9, 2020 View this edition as a PDF News CMS Approves Approximately $34 Billion for Providers with the Accelerated/Advance [...]
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Posting Date: 06/03/2020
Comprehensive Error Rate Testing A/B MAC Task Force
Comprehensive Error Rate Testing A/B MAC Task Force The CERT A/B MAC Task Force goal is to educate providers on national issues of concern regarding improper payment errors and to reduce the national payment error rate by creating material [...]
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Posting Date: 06/01/2020
MLN Connects® Special Edition for Monday, June 1, 2020
MLN Connects® Special Edition for Monday, June 1, 2020 COVID-19: Using the CR Modifier and DR Condition Code CMS revised MLN Matters Special Edition Article SE20011 on Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on [...]
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Posting Date: 05/29/2020
MLN Connects® Special Edition for Friday, May 29, 2020
MLN Connects® Special Edition for Friday, May 29, 2020 New COVID-19 FAQs on Medicare Fee-for-Service Billing CMS released additional Frequently Asked Questions (FAQs) on our recent COVID-19-related waivers to help providers, including [...]
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Posting Date: 05/28/2020
MLN Connects® for Thursday, May 28, 2020
MLN Connects® for Thursday, May 28, 2020 COVID-19: Adjusting Operations to Manage Patient Surge MLN Connects® for Thursday, May 28, 2020 View this edition as a PDF News COVID-19: Adjusting Operations to Manage Patient Surge [...]
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Posting Date: 05/20/2020
Reminder: Billing and Coding for Implantable Automatic Defibrillators
Reminder: Billing and Coding for Implantable Automatic Defibrillators An implantable automatic defibrillator is an electronic device designed to diagnose and treat life threatening ventricular tachyarrhythmias. When you use specific ICD-10-CM [...]
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Posting Date: 05/19/2020
MLN Connects® Special Edition for Tuesday, May 19, 2020
MLN Connects® Special Edition for Tuesday, May 19, 2020 COVID-19: Payment for Lab Tests, Safely Reopening Nursing Homes, Lab & Ambulance Claims COVID-19: Payment for Diagnostic Laboratory Tests Trump Administration Issues Guidance to [...]
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Posting Date: 05/19/2020
Submission Requirements for Investigational Device Exemption Claims
Submission Requirements for Investigational Device Exemption Claims Effective for Category A and B IDE studies approved by the FDA on or after 1/1/2015, interested parties (i.e. study sponsors) seeking Medicare coverage must submit a request [...]
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Posting Date: 07/28/2022
MLN Connects® Newsletter for Thursday, July 28, 2022
MLN Connects® Newsletter for Thursday, July 28, 2022 Enhanced Nursing Home Rating System News CMS Enhances Nursing Home Rating System with Staffing & Turnover Data Clinical Laboratory Improvement Amendments Proposed Rule: Submit [...]
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Posting Date: 12/09/2019
MLN Connects® Special Edition for Monday, December 9, 2019
MLN Connects® Special Edition for Monday, December 9, 2019 HHAs: Get Help Registering for iQIES by December 23 Avoid payment delays. You need access to the upgraded Internet Quality Improvement and Evaluation System (iQIES) to submit [...]
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Posting Date: 12/10/2019
MLN Connects® Special Edition for Tuesday, December 10, 2019
MLN Connects® Special Edition for Tuesday, December 10, 2019 Most HICN Claims Reject – Regardless of Date Service Use Medicare Beneficiary Identifiers (MBIs) now to avoid claim and eligibility transaction rejects. Starting January 1, 2020, [...]
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Posting Date: 12/12/2019
MLN Connects® for Thursday, December 12, 2019
MLN Connects® for Thursday, December 12, 2019 Quality Payment Program: Your MIPS Eligibility Status MLN Connects® for Thursday, December 12, 2019 View this edition as a PDF News Open Payments: Review and Dispute Data by [...]
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