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Posting Date: 02/02/2021
Who May File an Appeal
Who May File an Appeal? Table of Contents Who May File an Appeal? Appointment of Representative When Is an Appointment Not Necessary? Who May Be a Representative How to Make and Revoke an Appointment When Is an Appointment Not [...]
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Posting Date: 07/08/2021
Reopenings for Minor Errors and Omissions
Reopenings for Minor Errors and Omissions Table of Contents Reopenings for Minor Errors and Omissions What is a Clerical Error? Clerical Error and Omission Reopening Request Request a Reopening- NGSConnex Request a Reopening- In Writing [...]
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Posting Date: 10/30/2023
Review Bad Debt Listing
Table of Contents Review Bad Debt Listing Identifying Fee Schedule Services Fee Schedules Included in Bad Debt Policy Related Content [Return to Top] Review Bad Debt Listing Bad debts are unrecovered costs due to uncollectible [...]
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Posting Date: 01/23/2020
Hospice Cap
Hospice Cap Table of Contents The Inpatient Day Limitation Aggregate Cap Calculation Beneficiary Count Proportional Method (applies to most hospices) Streamlined Method [Return to Top] The Inpatient Day Limitation [...]
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Posting Date: 10/30/2023
Proper Use of Modifiers JW and JZ
Proper Use of Modifiers JW and JZ National Government Services Provider Contact Center has received several inquiries regarding claim denials related to the use of the JW and JZ modifier for drugs/biologicals. As a reminder, effective [...]
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Posting Date: 10/28/2014
Claim Denials for Medically Unnecessary Ambulance Transports: Avoiding Reason Code 55B10
Claim Denials for Medically Unnecessary Ambulance Transports Table of Contents Claim Denials for Medically Unnecessary Ambulance Transports Medical Necessity and Coverage Guidelines for Ambulance Transport Avoiding Reason Code 55B10 [...]
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Posting Date: 09/24/2021
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid
Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Table of Contents Inpatient Psychiatric Facilities Billing When Benefits Exhaust Job Aid Benefits Exhaust Date Submitting Claims Through the Benefits Exhaust Date [...]
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Posting Date: 10/31/2023
November 2023
In This Issue National Government Services Articles for Part A and Part B Providers Collaborative A/B/DME Therapeutic Shoes for Persons with Diabetes Webinar Decrease Burden and Combine Multiple PDFs in one Document Before Responding to [...]
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