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Posting Date: 12/12/2019
Livanta’s Memorandum of Agreement for Healthcare Providers
Livanta’s Memorandum of Agreement for Healthcare Providers As of 6/8/2019, Livanta is the new Medicare Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for 27 states and territories, providing Medicare case [...]
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Posting Date: 12/12/2019
Livanta’s Memorandum of Agreement for Healthcare Providers
Livanta’s Memorandum of Agreement for Healthcare Providers As of 6/8/2019, Livanta is the new Medicare Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for 27 states and territories, providing Medicare case [...]
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Posting Date: 12/16/2019
MLN Connects® Special Edition for Monday, December 16, 2019
MLN Connects® Special Edition for Monday, December 16, 2019 HHAs: Avoid Payment Delays, Register for iQIES Now Why register in the upgraded internet Quality Improvement and Evaluation System (iQIES) by December 23? Claims that cannot be [...]
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Posting Date: 12/17/2019
MLN Connects® Special Edition for Tuesday, December 17, 2019
MLN Connects® Special Edition for Tuesday, December 17, 2019 New Medicare Card Transition Ends in 2 Weeks: Use MBIs Now to Get Paid January 1 The 21 month Medicare Beneficiary identifier (MBI) transition period ends in two weeks. Update your [...]
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Posting Date: 12/19/2019
MLN Connects® for Thursday, December 19, 2019
MLN Connects® for Thursday, December 19, 2019 MAC Operations: Provide Feedback at a Listening Session MLN Connects® for Thursday, December 19, 2019 View this edition as a PDF Editor's Note: Happy holidays from the MLN [...]
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Posting Date: 12/23/2019
LCD and Article Revisions: December 2019/January 2020
LCD and Article Revisions: December 2019/January 2020 The medical policies and related articles can be found in our Medical Policy Center. LCD Revised in December and January EEG – Ambulatory Monitoring (L33399) Due to annual CPT/HCPCs [...]
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Posting Date: 12/24/2019
New Version of PC-ACE: January 2020
New Version of PC-ACE: January 2020 PC-ACE Version 4.5 contains several CMS mandates and product enhancements including but not limited to the items listed below. 10971 - Implementation of the MPA for the MD TCOC Model 11457 - October 2019 [...]
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Posting Date: 12/23/2019
MLN Connects® Special Edition for Monday, December 23, 2019
MLN Connects® Special Edition for Monday, December 23, 2019 New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1 Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use MBIs on claims (with [...]
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Posting Date: 12/24/2019
New Version of PC Print: January 2020
New Version of PC Print: January 2020 A new version of PC Print will soon be available on our website. This version contains the following enhancements: CR 11394 is to implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of [...]
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Posting Date: 12/27/2019
Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020
Attention Home Health Agencies – Reminder on Requests for Anticipated Payment in 2020 The Home Health Final Rule for calendar year 2020 finalized the guidelines for billing RAPs under the PDGM and some changes in the way RAPs are being [...]
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Posting Date: 12/06/2019
January 2020 EDI Front End Quarterly Release - New and Modified Edits
January 2020 EDI Front End Quarterly Release - New and Modified Edits The Part A and Part B edit changes are listed below: Part A Edit Changes Edit Reference Number Change Reason for Change Trading Partner/Results [...]
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Posting Date: 12/05/2019
MLN Connects® for Thursday, December 5, 2019
MLN Connects® for Thursday, December 5, 2019 DMEPOS Competitive Bidding Surveys: Comment by December 20 MLN Connects® for Thursday, December 5, 2019 View this edition as a PDF News Direct Contracting Risk-Sharing Options: Submit [...]
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Posting Date: 12/04/2019
NGS EDI 275 Claims Attachment
NGS EDI 275 Claims Attachment Currently, National Government Services Part A providers can electronically respond to requests for additional information (ADR letters) using the X12 275 Claims Attachment transaction through the EDI Gateway. [...]
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Posting Date: 12/03/2019
MLN Connects® Special Edition for Tuesday, December 3, 2019
MLN Connects® Special Edition for Tuesday, December 3, 2019 MBI Transition Ends This Month: Will You Be Paid On January 1? The 21 month transition period will end on December 31; use Medicare Beneficiary identifiers (MBIs) now. You are [...]
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Posting Date: 12/03/2019
Become a Medicare Diabetes and Prevention Program Provider Today
Become a Medicare Diabetes and Prevention Program Provider Today National Government Services is combining forces with CMS, health infrastructure and linking to healthy programs that afford a real opportunity to make a difference in the lives [...]
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Posting Date: 11/27/2019
MLN Connects® for Wednesday, November 27, 2019
MLN Connects® for Wednesday, November 27, 2019 Patients Over Paperwork Newsletter MLN Connects® for Wednesday, November 27, 2019 View this edition as a PDF News FY 2019 Medicare FFS Improper Payment Rate Lowest Since 2010 Patients [...]
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Posting Date: 11/26/2019
MLN Connects® Special Edition for Tuesday, November 26, 2019
MLN Connects® Special Edition for Tuesday, November 26, 2019 New Medicare Card: Claim Reject Codes After January 1 Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use MBIs on claims (with a few exceptions) after [...]
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Posting Date: 11/26/2019
MLN Connects® Special Edition Article for Tuesday, November 26, 2019
MLN Connects® Special Edition for Tuesday, November 26, 2019 HHAs: Avoid Payment Delays, Register for iQIES by December 23 Act now. Home Health Agencies (HHAs) need access to the upgraded Internet Quality Improvement and Evaluation System [...]
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Posting Date: 11/21/2019
MLN Connects® Special Edition for Thursday, November 21, 2019
MLN Connects® Special Edition for Thursday, November 21, 2019 HHAs: Avoid Payment Delays, Register for iQIES by December 23 Act now. Home Health Agencies (HHAs) need access to the upgraded Internet Quality Improvement and Evaluation System [...]
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Posting Date: 11/21/2019
MLN Connects® for Thursday, November 21, 2019
MLN Connects® for Thursday, November 21, 2019 Hospital Price Transparency: Register for Dec 3 Call MLN Connects® for Thursday, November 21, 2019 View this edition as a PDF News Promoting Interoperability Programs: Updated list of [...]
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Posting Date: 11/20/2019
Chimeric Antigen Receptor T-Cell Therapy Reminder
Chimeric Antigen Receptor T-Cell Therapy Reminder National Government Services is receiving certain CAR T-Cell therapy claims that are billed incorrectly resulting in claim rejection or erroneous claim adjudication. Please note that rejected [...]
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Posting Date: 11/19/2019
MLN Connects® Special Edition for Tuesday, November 19, 2019
MLN Connects® Special Edition for Tuesday, November 19, 2019 New Medicare Card: Get Paid January 1, 2020 – Use MBIs Now Do not wait. Update your patients' records and use Medicare Beneficiary identifiers (MBIs) now, before you are busy with [...]
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Posting Date: 11/18/2019
MLN Connects® Special Edition for Friday, November 15, 2019
MLN Connects® Special Edition for Friday, November 15, 2019 Hospital Price Transparency Requirements CY 2020 Hospital Outpatient Prospective Payment System Policy Changes On November 15, CMS finalized policies that lay the foundation for a [...]
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Posting Date: 11/12/2019
MLN Connects® Special Edition for Tuesday, November 12, 2019
MLN Connects® Special Edition for Tuesday, November 12, 2019 HICN Claims Reject We are 50 days out from the end of the Medicare Beneficiary Identifier (MBI) transition period. Use the MBI on Medicare claims and other transactions now. [...]
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Posting Date: 11/07/2019
Medicare Participation Enrollment for Calendar Year 2020
Medicare Participation Enrollment for Calendar Year 2020 The open enrollment period for Medicare participation during CY 2020 extends from 11/14/2019 through 12/31/2019. Physicians, practitioners and suppliers must make their Medicare [...]
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Posting Date: 11/07/2019
MLN Connects® for Thursday, November 7, 2019
MLN Connects® for Thursday, November 7, 2019 New Medicare Card: HICN Claims Reject January 1, 2020 MLN Connects® for Thursday, November 7, 2019 View this edition as a PDF News New Medicare Card: HICN Claims Reject January 1, 2020 [...]
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Posting Date: 11/04/2019
MLN Connects® Special Edition for Monday, November 4, 2019
MLN Connects® Special Edition for Monday, November 4, 2019 Physician Fee Schedule and OPPS/ASC Final Rules Call — November 6 Wednesday, November 6 from 2:15 to 3:45 p.m. ET Register for Medicare Learning Network events. During [...]
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Posting Date: 11/04/2019
MLN Connects® Special Edition for Friday, November 1, 2019
MLN Connects® Special Edition for Friday, November 1, 2019 Physician Fee Schedule, Hospital OPPS, and ASC Final Rules Physician Fee Schedule: Finalized Policy, Payment, and Quality Provisions for CY 2020 Medicare Hospital OPPS and ASC [...]
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Posting Date: 11/01/2019
MLN Connects® Special Edition for Thursday, October 31, 2019
MLN Connects® Special Edition for Thursday, October 31, 2019 Final Payment Rules for HH, ESRD, and DMEPOS HHAs: CY 2020 Payment and Policy Changes and CY 2021 Home Infusion Therapy Benefit ESRD and DMEPOS CY 2020 Final Rule HHAs: CY [...]
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Posting Date: 10/31/2019
MLN Connects® for Thursday, October 31, 2019
MLN Connects® for Thursday, October 31, 2019 Influenza Vaccine: Payment & Resources MLN Connects® for Thursday, October 31, 2019 View this edition as a PDF News Protect Your Patients’ Identities: Use the MBI Now Hospital [...]
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Posting Date: 10/24/2019
MLN Connects® for Thursday, October 24, 2019
MLN Connects® for Thursday, October 24, 2019 MLN Connects® for Thursday, October 24, 2019 View this edition as a PDF News New Medicare Card: Claim Reject Codes After January 1 Take Medicare Fraud, Waste and Abuse Fighting [...]
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Posting Date: 10/17/2019
MLN Connects® for Thursday, October 17, 2019
MLN Connects® for Thursday, October 17, 2019 New Medicare Card: MBI Transition Ends in Less Than 10 Weeks MLN Connects® for Thursday, October 17, 2019 View this edition as a PDF News New Medicare Card: MBI Transition Ends in Less [...]
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Posting Date: 10/10/2019
MLN Connects® for Thursday, October 10, 2019
MLN Connects® for Thursday, October 10, 2019 New Medicare Card: 80% of Claims Submitted with MBI MLN Connects® for Thursday, October 10, 2019 View this edition as a PDF News New Medicare Card: 80% of Claims Submitted with MBI Nursing [...]
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Posting Date: 10/09/2019
MLN Connects® Special Edition for Wednesday, October 9, 2019
MLN Connects® Special Edition for Wednesday, October 9, 2019 Modernizing and Clarifying the Physician Self-Referral Regulations Proposed Rule On October 9, CMS issued a proposed rule to modernize and clarify the regulations that interpret the [...]
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Posting Date: 10/03/2019
MLN Connects® for Thursday, October 3, 2019
MLN Connects® for Thursday, October 3, 2019 New Medicare Card: Do You Refer Patients? MLN Connects® for Thursday, October 3, 2019 View this edition as a PDF News New Medicare Card: Do You Refer Patients? Opioid Treatment Programs: [...]
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Posting Date: 09/26/2019
MLN Connects® for Thursday, September 26, 2019
MLN Connects® for Thursday, September 26, 2019 MLN Connects® for Thursday, September 26, 2019 View this edition as a PDF News New Medicare Card: More Questions about Using the MBI? Quality Payment Program: Submit Comments on 2020 [...]
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Posting Date: 09/26/2019
MLN Connects® Special Edition - Thursday, September 26, 2019
MLN Connects® Special Edition - Thursday, September 26, 2019 Omnibus Burden Reduction (Conditions of Participation) Final Rule Discharge Planning Rule Supports Interoperability and Patient Preferences Omnibus Burden Reduction [...]
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Posting Date: 09/19/2019
MLN Connects® for Thursday, September 19, 2019
MLN Connects® for Thursday, September 19, 2019 Why Use the MBI? MLN Connects® for Thursday, September 19, 2019 View this edition as a PDF News New Medicare Card: Why Use the MBI? Proposed Opioid Treatment Program Policies: [...]
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Posting Date: 09/12/2019
MLN Connects® for Thursday, September 12, 2019
MLN Connects® for Thursday, September 12, 2019 New Medicare Card Transition Period Ends in Less Than 4 Months MLN Connects® for Thursday, September 12, 2019 View this edition as a PDF News New Medicare Card: Transition Period [...]
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Posting Date: 09/06/2019
October 2019 EDI Front-End Quarterly Release: New and Modified Edits
October 2019 EDI Front-End Quarterly Release: New and Modified Edits Please note that there are no new, modified, or deleted edits changes for Part B within the October 2019 Release. The Part A edit changes are listed below: Part A Edit [...]
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Posting Date: 09/06/2019
Reminder: Annual Mandatory Deadline for Submitting Low Volume ESRD Facility Adjustment Requests for CY 2020 Are Due by 11/1/2019
Reminder: Annual Mandatory Deadline for Submitting Low Volume ESRD Facility Adjustment Requests for CY 2020 Are Due by 11/1/2019 Attention End-Stage Renal Dialysis Facilities Per 42 CFR Section 413.232, CMS notified ESRD providers that [...]
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Posting Date: 09/05/2019
MLN Connects® for Thursday, September 5, 2019
MLN Connects® for Thursday, September 5, 2019 September is Pain Awareness Month - Learn Pain Management Options MLN Connects® for Thursday, September 5, 2019 View this edition as a PDF News New Medicare Card: Do You Refer Patients? [...]
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Posting Date: 08/29/2019
MLN Connects® for Thursday, August 29, 2019
MLN Connects® for Thursday, August 29, 2019 New Medicare Card: Open Door Forum — September 11 MLN Connects® for Thursday, August 29, 2019 View this edition as a PDF News Promoting Interoperability: 2019 PDMP Bonus Measure [...]
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Posting Date: 04/19/2021
NGSConnex Security Requirements
NGSConnex Security Requirements We frequently receive suggestions to improve NGSConnex by implementing less restrictive or eliminating some of our security requirements. Although we understand these security requirements often feel excessive, [...]
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Posting Date: 08/22/2019
MLN Connects® for Thursday, August 22, 2019
MLN Connects® for Thursday, August 22, 2019 New Medicare Card: Read the Updated MLN Matters Article MLN Connects® for Thursday, August 22, 2019 View this edition as a PDF News Overall Hospital Quality Star Ratings: Upcoming [...]
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Posting Date: 08/15/2019
MLN Connects® for Thursday, August 15, 2019
MLN Connects® for Thursday, August 15, 2019 New Medicare Card: Transition Period Ends in Less Than 5 Months MLN Connects® for Thursday, August 15, 2019 View this edition as a PDF News New Medicare Card: Transition Period Ends in [...]
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Posting Date: 08/08/2019
MLN Connects® for Thursday, August 8, 2019
MLN Connects® for Thursday, August 8, 2019 New Medicare Card: Will Your Claims Reject? MLN Connects® for Thursday, August 8, 2019 View this edition as a PDF News New Medicare Card: Will Your Claims Reject? Securing Access to [...]
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Posting Date: 08/07/2019
MLN Connects® Special Edition - Wednesday, August 7, 2019
MLN Connects® Special Edition - Wednesday, August 7, 2019 Don't Miss Out: Register for Payment Rule Listening Sessions Today Physician Fee Schedule Proposed Rule: Understanding 3 Key Topics Listening Session — August 12 OPPS and ASC [...]
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Posting Date: 08/05/2019
Reminder: Medicare Part B Providers Receiving Hardcopy Standard Paper Remittances – Moving to Biweekly Mailing Schedule
Reminder: Medicare Part B Providers Receiving Hardcopy Standard Paper Remittances – Moving to Biweekly Mailing Schedule Beginning 8/9/2019, we will change from a weekly to biweekly mailing schedule for Part B hard copy SPR. The only exception [...]
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Posting Date: 08/05/2019
MLN Connects® Special Edition - Friday, August 2, 2019
MLN Connects® Special Edition - Friday, August 2, 2019 IPPS/LTCH: FY 2020 PPS Final Rule IRF: FY 2020 Payment and Policy Changes Hospice: FY 2020 Hospice Payment Rate Final Rule IPPS/LTCH: FY 2020 PPS Final Rule On August 2, CMS [...]
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Posting Date: 08/01/2019
August is National Immunization Awareness Month
August is National Immunization Awareness Month This annual health observance is a great opportunity to educate seniors and other Medicare beneficiaries about the importance of disease control and prevention through immunization. [...]
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Posting Date: 08/01/2019
MLN Connects® for Thursday, August 1, 2019
MLN Connects® for Thursday, August 1, 2019 Protect Your Patients’ Identities: Use the MBI Now MLN Connects® for Thursday, August 1, 2019 View this edition as a PDF News SNF: FY 2020 Payment and Policy Changes IPF: FY 2020 [...]
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Posting Date: 07/30/2019
MLN Connects® Special Edition - Monday, July 29, 2019
MLN Connects® Special Edition - Monday, July 29, 2019 Medicare and ASC Payment System CY 2020 Proposed Rule ESRD and DMEPOS CY 2020 Proposed Rule PFS: Proposed Policy, Payment, and Quality Provisions Changes for CY 2020 On July 29, [...]
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Posting Date: 07/25/2019
MLN Connects® for Thursday, July 25, 2019
MLN Connects® for Thursday, July 25, 2019 Questions about Using the MBI? MLN Connects® for Thursday, July 25, 2019 View this edition as a PDF News New Medicare Card: Questions about Using the MBI? 2020 QRDA III Implementation Guide, [...]
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Posting Date: 07/29/2022
Targeted Probe and Educate Letters – An Informational Overview
Targeted Probe and Educate Letters – An Informational Overview As part of our contractual obligation with the CMS, NGS, your Jurisdiction 6 or K MAC performs TPE to analyze provider compliance with CMS regulatory requirements. The TPE review [...]
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Posting Date: 08/01/2022
Health and Human Services Office of Inspector General Telehealth and Potential Fraud
Health and Human Services Office of Inspector General Telehealth and Potential Fraud The DHHS, of whom the CMS reports to, published a brief last week from the OIG regarding telehealth and the PHE expansion of services. The article addresses [...]
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Posting Date: 08/01/2022
Understanding your Remittance Advice for Merit-Based Incentive Payment System Adjustments
Understanding your Remittance Advice for Merit-Based Incentive Payment System Adjustments National Government Services has seen an increase in invalid overpayment requests related to the MIPS program. MIPS is part of the QPP that determines [...]
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Posting Date: 02/03/2022
MLN Connects® Special Edition for Thursday, February 3, 2022
MLN Connects® Special Edition for Thursday, February 3, 2022 Biden-Harris Administration Will Cover Free Over-the-Counter COVID-19 Tests Through Medicare CMS Developing Initiative to Enable Access to Eight Free Over-the-Counter COVID-19 Tests [...]
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Posting Date: 08/02/2022
Provider Enrollment Authorization and Accreditation
Provider Enrollment Authorization and Accreditation Provider Enrollment added articles State License and Registrations for Certified Providers and Suppliers and Certified Provider and State Survey Agency for reminders, clarification and [...]
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Posting Date: 08/02/2022
Top Claim Errors
Top Claim Errors Did you know we publish the top claim errors on our website? This information provides you with: the error reason code; a description of the error; the error type; details that include steps you can take to [...]
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